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US20130143757A1 - Methods and Compositions for Chlamydial Antigens as Reagents for Diagnosis of Tubal Factor Infertility and Chlamydial Infection - Google Patents

Methods and Compositions for Chlamydial Antigens as Reagents for Diagnosis of Tubal Factor Infertility and Chlamydial Infection Download PDF

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US20130143757A1
US20130143757A1 US13/691,260 US201213691260A US2013143757A1 US 20130143757 A1 US20130143757 A1 US 20130143757A1 US 201213691260 A US201213691260 A US 201213691260A US 2013143757 A1 US2013143757 A1 US 2013143757A1
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chlamydia trachomatis
antigen
immunologically reactive
reactive fragment
trachomatis
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US9046530B2 (en
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Guangming Zhong
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University of Texas System
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/569Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
    • G01N33/56911Bacteria
    • G01N33/56927Chlamydia
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
    • G01N33/6893Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids related to diseases not provided for elsewhere
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/36Gynecology or obstetrics
    • G01N2800/367Infertility, e.g. sperm disorder, ovulatory dysfunction
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/52Predicting or monitoring the response to treatment, e.g. for selection of therapy based on assay results in personalised medicine; Prognosis

Definitions

  • the present invention relates to the field of diagnosis/determination of chlamydial infection and disease as well as diagnosis/determination of tubal factor infertility.
  • Chlamydia trachomatis is the primary sexually transmitted infection responsible for tubal factor infertility (TFI) (5-7) with C. trachomatis antibodies in approximately 70% of human patients (8).
  • C. trachomatis infected cells produce inflammatory cytokines (9-10) which may contribute to upper genital tract inflammatory damage (11-13).
  • Lunefeld et al. found that among patients undergoing in vitro fertilization, those with C. trachomatis antibodies had decreased pregnancy rates (14).
  • C. trachomatis infection is often asymptomatic so patient history cannot dictate the presence of tubal disease (15-16). Elevated titers of anti- C. trachomatis antibodies are associated with TFI, but detection of overall antibody levels lacks the sensitivity and specificity required for differential diagnosis (17).
  • the present invention provides chlamydial antigens that can be used to develop rapid and convenient means for diagnosing/determining tubal factor infertility, as well as chlamydial antigens that can be used to develop rapid and convenient means for diagnosing/determining acute chlamydial invention.
  • the present invention provides a method of diagnosing tubal factor infertility in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof, and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex (e.g., detecting no antigen/antibody complex) with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the
  • Also provided herein is a method of identifying a subject as having an increased likelihood of having or developing tubal factor infertility, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex (e.g., detecting no antigen/antibody complex) with the antigen of Chlamydia trachomatis CT875 or an immunologically
  • the present invention provides a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • a method of diagnosing acute Chlamydia trachomatis infection in a subject comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • the present invention also provides a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia
  • a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection.
  • a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject for whom antibiotic therapy to treat Chlamydia
  • Also provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial.
  • the method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • the present invention provides a kit comprising a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof.
  • kits comprising a diagnostic panel comprising an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof.
  • a kit of this invention can further comprise an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
  • FIGS. 1A-F Reactivity of 30 C. trachomatis Antigens with 54 Patient Sera at 1:4000 Dilution.
  • FIGS. 2A-B Distribution Patterns of Reactivity of 5 Antigens with 24 TFI Samples.
  • FIGS. 3A-C Reactivity Patterns of CT443 and its 12 Fragments with TFI & FC Serum Samples.
  • CT443 full length (FL) and its 12 fragments (F1 to F12) as shown along the X-axis at the bottom were reacted with 24 TFI and 25 FC antisera (listed along the Y-axis on the left) at different dilutions (as shown along the Y-axis on the right), including 1:1,000 (A), 1:3,000 (B) and 1:10,000 (C).
  • a positive reactivity was indicated with a horizontal bar. Number of or percentage of antisera reacted with a given antigen were spelled out in text in corresponding panels. Please note that most antibody reactivity was localized at the C-terminal fragments, including fragment 10 (F9), F11 and F12 and the fragments displayed better discrimination of TFI from FC samples than the full length CT443 at different serum dilutions.
  • FIGS. 4A-F Reactivity Patterns of Antigens Preferentially Recognized by TFI Women with Serum Samples from 3 Different Groups of Women.
  • CT110, CT376, CT557, CT443 and CT443F11 as listed along the X-axis at the bottom with 24 TFI (A-B), 25 FC(C-D) and 24 STI (E-F) antisera as shown along the Y-axis at the left side.
  • a positive reactivity was indicated with a horizontal bar.
  • the human sera were used at either 1:1000 (A, C, E) or 1:10,000 (B, D, F) dilution.
  • Antisera from the TFI group uniquely detected by a given antigen are marked with stars. Antigens preferentially recognized by TFI women were also highly reactive with STI women samples.
  • FIGS. 5A-B Reactivity Patterns of 13 Antigens with STI Women Samples.
  • FIG. 6 Comparison of Chlamydia Antibody Test with Hysterosalpingogram (HSG) for Identifying Tubal Factor Infertility (TFI).
  • the present invention is based on the unexpected identification of immunodominant proteins of Chlamydia trachomatis and combinations thereof that allow for the diagnosis of tubal factor infertility as well as for the identification of subjects having an increased likelihood of having or developing tubal factor infertility.
  • the present invention is also based on the unexpected identification of immunodominant proteins of Chlamydia trachomatis and combinations thereof that allow for the diagnosis of acute infection by Chlamydia trachomatis . These immunodominant proteins have been identified by the screening fusion protein arrays described herein in the EXAMPLES section.
  • immunodominant proteins, immunologically reactive fragments thereof and/or homologues of these proteins or immunologically reactive fragments thereof from other chlamydial species can be employed in methods of detection and diagnosis by identifying the presence of an antibody to the protein(s) and/or immunologically reactive fragment(s) thereof in a sample, such as a biological sample from a subject.
  • the present invention provides a method of diagnosing tubal factor infertility in a subject, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof, and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby diagnosing
  • the method above can further comprise the step of advising and/or having the subject that has been diagnosed with tubal factor infertility to initiate IVF procedures to become pregnant.
  • Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • the present invention provides a method of identifying a subject as having an increased likelihood of having or developing tubal factor infertility, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample,
  • the method above can further comprise the step of advising and/or having the subject that has been identified as having an increased likelihood of having or developing tubal factor infertility as a result of chlamydial infection to undergo an infertility evaluation.
  • Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Establishing that the cause of a woman's infertility is tubal factor infertility allows the woman and her physician to avoid approaches that are likely to be unsuccessful, such as hormone replacement and artificial insemination in order to overcome or bypass the woman's infertility and to select more effective methods of establishing a successful pregnancy in the woman, such as in vitro fertilization.
  • the knowledge that the cause of a woman's infertility is tubal factor infertility also informs the woman and her physician that the use of invasive and costly procedures such as hysterosalpingogram (HSG) or laparoscopy may be unnecessary.
  • HSG hysterosalpingogram
  • the present invention also provides a method of identifying a subject as a good or suitable candidate for in vitro fertilization or surgical repair of tubal damage, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunological
  • the method above can further comprise the step of advising and/or having the subject that has been identified as a good or suitable candidate for in vitro fertilization (IVF) or surgical repair of tubal damage to undergo such IVF or surgery.
  • IVF in vitro fertilization
  • Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • the subject of this invention can be a human female and in some embodiments, the subject of this invention can be an infertile human female.
  • the tubal factor infertility can be caused by chlamydial infection and in some embodiments, the tubal factor infertility can be caused by infection by Chlamydia trachomatis.
  • the diagnostic panel can further comprise, consist essentially of or consist of an additional antigen selected from the group consisting of a) Chlamydia trachomatis HSP60 or an immunologically reactive fragment thereof, b) Chlamydia trachomatis CT376 or an immunologically reactive fragment thereof, c) Chlamydia trachomatis CT557 or an immunologically reactive fragment thereof, and d) any combination thereof, and the method can further comprise, consist essentially of or consist of detecting an antigen/antibody complex in the sample for each of said additional antigen(s).
  • the present invention provides a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT 381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • the method above can further
  • Also provided herein is a method of diagnosing acute Chlamydia trachomatis infection in a subject comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • the method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • the present invention also provides a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia
  • a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection.
  • the method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject for whom antibiotic therapy to treat Chlamydia
  • Also provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial.
  • the method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • the method of diagnosing acute chlamydial infection or identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection or identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection can further comprise, consist essentially of or consist of contacting the sample with an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof and detecting an antigen/antibody complex in the sample with the antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
  • a biological sample of this invention can be any biological fluid and/or tissue in which antibodies can be detected.
  • Nonlimiting examples of a sample of this invention can include vaginal fluid, vaginal tissue, vaginal washing, vaginal swab, vaginal discharge, cervical swab, cervical tissue urethral swab, urethral discharge, rectal swab, rectal material, rectal washing, urine, blood, serum, plasma, saliva, tears, skin swab, semen, seminal fluid, sputum, bronchial fluid, bronchial washing, peritoneal fluid, peritoneal washing, pleural fluid, pleural washing, cerebrospinal fluid, eye fluid and/or tissue, fluid and/or tissue from lung, liver, heart, brain, kidney, spleen or muscle and any combination thereof.
  • the biological sample of this invention to be used in the methods of this invention can be diluted 1:10, 1:100, 1:200, 1:300, 1:400, 1:500, 1:600, 1:700, 1:800, 1:900, 1:1000, 1:1500, 1:2000, 1:3000, 1:4000, 1:5000, 1:6000, 1:7000, 1:8000, 1:9000, 1:10,000, 1:20,000, 1:30,000, 1:40,000, 1:50,000, 1:100,000, etc.
  • a dilution can be carried out according to protocols well known in the art and as described in the EXAMPLES section herein. Such dilution can be used to increase the specificity of the method, as described herein.
  • the biological sample can be preabsorbed, e.g., to reduce or minimize cross-reactivity and/or background.
  • the biological sample can be preabsorbed with a lysate of bacteria expressing glutathione-S-transferase (GST) and/or a lysate of normal (e.g., non-chlamydial infected mammalian cells.
  • GST glutathione-S-transferase
  • absorption of the sample can be with a lysate of Chlamydia -infected mammalian cells, to remove and/or block chlamydial antigen-specific antibodies from human samples, which can help confirm the specificity of human antibody binding to the test antigen.
  • a subject of this invention that has an “increased likelihood” or “increased risk” of having or tubal factor infertility can be a subject having symptoms and/or signs of infertility and/or meets criteria known in the art for being infertile or such a subject can be a subject who is not having symptoms and/or signs of infertility and/or does not meet criteria know in the art for being infertile.
  • “increased likelihood” or “increased risk” of having tubal factor infertility it is meant that the increase is relative to a control (e.g., a subject whose biological sample is not positive for antibodies to CT443 and CT381 and negative for antibodies to CT875).
  • a subject of this invention that has an “increased likelihood” or “increased risk” of having an acute Chlamydia trachomatis infection can be a subject having symptoms and/or signs of Chlamydia trachomatis infection or such a subject can be a subject who is not having symptoms and/or signs of Chlamydia trachomatis infection.
  • “increased likelihood” or “increased risk” of acute Chlamydia trachomatis infection it is meant that the increase is relative to a control (e.g., a subject whose biological sample is not positive for antibodies to CT443 and CT381 and CT875 or a subject whose biological sample is not positive for antibodies to CT875).
  • chlamydial proteins listed herein can also be employed in the methods and compositions of this invention, either singly or in any combination with one another and/or in combination with any other chlamydial protein and/or reagent of this invention.
  • a can mean one or more than one.
  • a cell can mean a single cell or a multiplicity of cells.
  • the term “about,” as used herein when referring to a measurable value such as an amount of a compound or agent of this invention, dose, time, temperature, and the like, is meant to encompass variations of ⁇ 20%, ⁇ 10%, ⁇ 5%, ⁇ 1%, ⁇ 0.5%, or even ⁇ 0.1% of the specified amount.
  • isolated means the protein or polypeptide or immunologically reactive fragment or nucleic acid of this invention is sufficiently free of contaminants or cell components with which polypeptides and/or nucleic acids normally occur. “Isolated” does not mean that the preparation is technically pure (homogeneous), but it is sufficiently pure to provide the polypeptide or nucleic acid in a form in which it can be used in methods of this invention.
  • epitopes refers to at least about 3 to about 5, or about 5 to about 10 or about 5 to about 15, and not more than about 1,000 amino acids (or any integer therebetween) (e.g., 5-12 amino acids or 3-10 amino acids or 4-8 amino acids or 6-15 amino acids, etc.), which define a sequence that by itself or as part of a larger sequence, binds to an antibody generated in response to such sequence or stimulates a cellular immune response.
  • amino acids e.g., 5-12 amino acids or 3-10 amino acids or 4-8 amino acids or 6-15 amino acids, etc.
  • an epitope for use in the subject invention is not limited to a polypeptide having the exact sequence of the portion of the parent protein from which it is derived. Indeed, there are many known strains or isolates of Chlamydia and there are several variable domains that exhibit relatively high degrees of variability between isolates. Thus, the term “epitope” encompasses sequences identical to the native sequence, as well as modifications to the native sequence, such as deletions, additions and substitutions (generally, but not always, conservative in nature). In some embodiments, an “immunologically reactive fragment” of this invention can comprise one, two, three, four or more epitopes of a protein of this invention.
  • Regions of a given polypeptide or fragment thereof that include an epitope can be identified using any number of epitope mapping techniques, well known in the art. (See, e.g., Epitope Mapping Protocols in Methods in Molecular Biology , Vol. 66, Glenn E. Morris, Ed., 1996, Humana Press, Totowa, N.J.).
  • linear epitopes can be determined by e.g., concurrently synthesizing large numbers of peptides on solid supports, the peptides corresponding to portions of the protein molecule, and reacting the peptides with antibodies while the peptides are still attached to the supports.
  • Such techniques are known in the art and described in, e.g., U.S. Pat. No.
  • conformational epitopes are readily identified by determining spatial conformation of amino acids such as by, e.g., x-ray crystallography and 2-dimensional nuclear magnetic resonance.
  • Antigenic regions of proteins can also be identified using standard antigenicity and hydropathy plots, such as those calculated using, e.g., the Omiga version 1.0 software program available from the Oxford Molecular Group. This computer program employs the Hopp/Woods method (Hopp et al., Proc. Natl. Acad. Sci USA (1981) 78:3824-3828) for determining antigenicity profiles and the Kyte-Doolittle technique (Kyte et al., J. Mol. Biol . (1982) 157:105-132) for hydropathy plots.
  • polypeptide or “protein” is used to describe a chain of amino acids that correspond to those encoded by a nucleic acid.
  • a polypeptide or protein of this invention can be a peptide, which usually describes a chain of amino acids of from two to about 30 to about 50 amino acids.
  • polypeptide as used herein also describes a chain of amino acids having more than about 30 amino acids or more than about 50 amino acids and can be a fragment or domain of a protein or a full length protein.
  • polypeptide can refer to a linear chain of amino acids or it can refer to a chain of amino acids that has been processed and folded into a functional protein.
  • polypeptides of the present invention are obtained by isolation and purification of the polypeptides from cells where they are produced naturally, by enzymatic (e.g., proteolytic) cleavage, and/or recombinantly by expression of nucleic acid encoding the polypeptides or fragments of this invention.
  • the polypeptides and/or fragments of this invention can also be obtained by chemical synthesis or other known protocols for producing polypeptides and fragments.
  • amino acid sequences of this invention are presented in the amino to carboxy direction, from left to right.
  • the “carboxy terminus” or “C terminus” of a protein or amino acid sequence as used herein refers to a portion or fragment or domain of a protein or amino acid sequence that makes up about 2 ⁇ 3, about 1 ⁇ 2, about 1 ⁇ 3 or about 1 ⁇ 4 of the total amino acid sequence at the carboxy end of the sequence (i.e., the right end or right-sided end or the “end” of the sequence).
  • amino terminus or “N terminus” of a protein or amino acid sequence as used herein refers to a portion or fragment or domain of a protein or amino acid sequence that makes up about 2 ⁇ 3, about 1 ⁇ 2, about 1 ⁇ 3 or about 1 ⁇ 4 of the total amino acid sequence at the amino end of the sequence (i.e., the left end or left sided end or the “beginning” of the sequence).
  • nucleotide sequences are presented herein by single strand only, in the 5′ to 3′ direction, from left to right. However, it is intended that the nucleic acids of this invention can be either single or double stranded (i.e., including the complementary nucleic acid).
  • a nucleic acid of this invention can be the complement of a nucleic acid described herein.
  • a “biologically active fragment” includes a polypeptide or peptide of this invention that comprises a sufficient number of amino acids to have one or more of the biological activities of the polypeptides of this invention.
  • Such biological activities can include, but are not limited to, in any combination, binding activity and/or immunogenic activity, as well as any other activity now known or later identified for the polypeptides and/or fragments of this invention.
  • an “immunologically reactive fragment,” “immunogenic fragment” or “antigenic fragment” of a protein refers to a portion of the protein or peptide that is immunologically reactive with a binding partner, e.g., an antibody, which is immunologically reactive with the protein or peptide itself.
  • immunologically reactive fragment is used to describe a fragment or portion of a protein or peptide that can stimulate a humoral and/or cellular immune response in a subject.
  • An immunologically reactive fragment, immunogenic fragment or antigenic fragment of this invention can comprise, consist essentially of and/or consist of one, two, three, four or more epitopes of a protein of this invention.
  • An immunologically reactive fragment, immunogenic fragment or antigenic fragment can be any fragment of contiguous amino acids of a Chlamydia trachomatis protein of this invention, including but not limited to CT443, CT381, CT875, CT147, HSP60, CT376, CT557, CT858 (CPAF), Pgp3, CT823 (cHtrA), CT681 (MOMP), CT119 (IncA), CT813, CT795, CT621 and CT622, the amino acid sequences of each of which are provided herein and are available at www.ncbi.nlm.nih.gov/protein/15605169) and can be for example, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 75, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950 or 1000 amino acids in length, dependent upon the total number of amino acids of the full length protein. Identification of any such immunologically reactive, immuno
  • Nonlimiting examples of an immunologically reactive fragment of Chlamydia trachomatis CT443 protein include amino acids 41-269 (F1), amino acids 166-269 (F2), amino acids 211-269 (F3), amino acids 101-210 (F4), amino acids 166-210 (F5), amino acids 41-165 (F6), amino acids 101-165 (F7), amino acids 41-100 (F8), amino acids 211-410 (F9), amino acids 270-410 (F10), amino acids 270-553 (F11) and amino acids 411-553 (F12), with amino acid numbering starting with amino acid 1 and ending with amino acid 553 of the 553 amino acid CT443 protein, the amino acid sequence of which is provided herein.
  • fragments identified above as F1 through F8 could be described as N terminal or amino terminal fragments.
  • fragments identified above as F9 through F12 could be described as C terminal or carboxy terminal fragments.
  • the CT443 protein or immunologically reactive fragment employed in methods of this invention can be a C terminal fragment.
  • Nonlimiting examples of an immunologically reactive fragment of Chlamydia trachomatis CPAF protein include amino acids 1-200, amino acids 136-609, amino acids 242-609, amino acids 284-609 and amino acids 387-609 with numbering starting from amino acid 1 at the amino terminus through amino acid 609 at the carboxy terminus of the 609 amino acid CPAF protein, the amino acid sequence of which is provided herein and is available under GenBank Database® Accession No. AAC68456.1.
  • an isolated peptide comprising, consisting essentially of or consisting of about five amino acids to about 15, 20, 25, 30, 35, 40, 45, 50, 50, 70, 80, 90 or 100 amino acids (including any value between 5 and 100 not explicitly recited herein), wherein the peptide comprises one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20) of the 5 mer peptides listed in Table 6, as well as a composition comprising any of these isolated peptides, singly or in any combination in a carrier (e.g., a pharmaceutically acceptable carrier).
  • a carrier e.g., a pharmaceutically acceptable carrier
  • an immunologically reactive fragment of this invention and a biological sample diluted as described herein can be employed in any combination in the methods described herein to increase the specificity of the method.
  • a biological sample diluted 1:3000 was reacted with the F11 fragment of chlamydial protein CT443 resulting in an increase in specificity of the assay and further diluting the sample 1:10,000 increased specificity even more (see Example 2).
  • Optimization of the sample dilution and immunologically reactive fragment reactivity can be carried out as described herein and according to methods well known in the art.
  • a fragment of a polypeptide or protein of this invention can be produced by methods well known and routine in the art. Fragments of this invention can be produced, for example, by enzymatic or other cleavage of naturally occurring peptides or polypeptides or by synthetic protocols that are well known. Such fragments can be tested for one or more of the biological activities of this invention according to the methods described herein, which are routine methods for testing activities of polypeptides, and/or according to any art-known and routine methods for identifying such activities. Such production and testing to identify biologically active fragments and/or immunologically reactive fragments of the polypeptides described herein would be well within the scope of one of ordinary skill in the art and would be routine.
  • antibody includes intact immunoglobin molecules as well as fragments thereof, such as Fab, F(ab′)2, and Fc, which are capable of binding the epitopic determinant of an antigen (i.e., antigenic determinant).
  • Antibodies that bind the polypeptides of this invention are prepared using intact polypeptides or fragments containing small peptides of interest as the immunizing antigen.
  • the polypeptide or fragment used to immunize an animal can be derived from enzymatic cleavage, recombinant expression, isolation from biological materials, synthesis, etc., and can be conjugated to a carrier protein, if desired.
  • Commonly used carriers that are chemically coupled to peptides and proteins for the production of antibody include, but are not limited to, bovine serum albumin, thyroglobulin and keyhole limpet hemocyanin.
  • the coupled peptide or protein is then used to immunize the animal (e.g., a mouse, rat, or rabbit).
  • the polypeptide or peptide antigens can also be administered with an adjuvant, as described herein and as otherwise known in the art.
  • the term “antibody” as used herein includes, but is not limited to a polypeptide encoded by an immunoglobulin gene or immunoglobulin genes, or a fragment thereof.
  • “Antibody” also includes, but is not limited to, a polypeptide encoded by an immunoglobulin gene or immunoglobulin genes, or a fragment thereof, which specifically binds to and recognizes the biomarkers of this invention.
  • epitopes means an antigenic determinant that is specifically bound by an antibody.
  • Epitopes usually consist of surface groupings of molecules such as amino acids and/or sugar side chains and usually have specific three-dimensional structural characteristics, as well as specific charge characteristics.
  • the terms “specifically binds to” and “specifically reactive with” refer to a binding reaction that is determinative of the presence of the antigen and antibody or aptamer and target in the presence of a heterogeneous population of proteins, nucleic acids and/or other biologics.
  • the specified antibodies and antigens and/or aptamers and targets bind to one another and do not bind in a significant amount to other components present in a sample.
  • a variety of immunoassay formats can be used to select antibodies specifically reactive with a particular antigen.
  • solid-phase ELISA immunoassays are routinely used to select monoclonal antibodies specifically immunoreactive with an analyte. See Harlow and Lane (ANTIBODIES: A LABORATORY MANUAL, Cold Springs Harbor Publications, New York, (1988)) for a description of immunoassay formats and conditions that can be used to determine specific immunoreactivity.
  • a specific or selective reaction will be at least twice background signal to noise and more typically more than 10 to 100 times greater than background.
  • immunoassays can be used to detect antibodies of this invention. Such immunoassays typically involve the measurement of antigen/antibody complex formation between a protein or peptide and its specific antibody.
  • the immunoassays of the invention can be either competitive or noncompetitive and both types of assays are well-known and well-developed in the art.
  • competitive binding assays antigen or antibody competes with a detectably labeled antigen or antibody for specific binding to a capture site bound to a solid surface.
  • concentration of labeled antigen or antibody bound to the capture agent is inversely proportional to the amount of free antigen or antibody present in the sample.
  • Noncompetitive assays of this invention can be sandwich assays, in which, for example, the antigen is bound between two antibodies.
  • One of the antibodies is used as a capture agent and is bound to a solid surface.
  • the other antibody is labeled and is used to measure or detect the resultant antigen/antibody complex by e.g., visual or instrument means.
  • a number of combinations of antibody and labeled antibody can be used, as are well known in the art.
  • the antigen/antibody complex can be detected by other proteins capable of specifically binding human immunoglobulin constant regions, such as protein A, protein L or protein G. These proteins are normal constituents of the cell walls of streptococcal bacteria.
  • the non-competitive assays need not be sandwich assays.
  • the antibodies or antigens in the sample can be bound directly to the solid surface. The presence of antibodies or antigens in the sample can then be detected using labeled antigen or antibody, respectively.
  • antibodies and/or proteins can be conjugated or otherwise linked or connected (e.g., covalently or noncovalently) to a solid support (e.g., bead, plate, slide, dish, membrane or well) in accordance with known techniques.
  • Antibodies can also be conjugated or otherwise linked or connected to detectable groups such as radiolabels (e.g., 35 S, 125 I, 32 P, 13 H, 14 C, 131 I), enzyme labels (e.g., horseradish peroxidase, alkaline phosphatase), gold beads, chemiluminescence labels, ligands (e.g., biotin) and/or fluorescence labels (e.g., fluorescein) in accordance with known techniques.
  • radiolabels e.g., 35 S, 125 I, 32 P, 13 H, 14 C, 131 I
  • enzyme labels e.g., horseradish peroxidase, alkaline phosphatase
  • gold beads chemilum
  • a variety of organic and inorganic polymers can be used as the material for the solid surface.
  • Nonlimiting examples of polymers include polyethylene, polypropylene, poly(4-methylbutene), polystyrene, polymethacrylate, poly(ethylene terephthalate), rayon, nylon, poly(vinyl butyrate), polyvinylidene difluoride (PVDF), silicones, polyformaldehyde, cellulose, cellulose acetate, nitrocellulose, and the like.
  • Other materials that can be used include, but are not limited to, include paper, glass, ceramic, metal, metalloids, semiconductive materials, cements and the like.
  • substances that form gels such as proteins (e.g., gelatins), lipopolysaccharides, silicates, agarose and polyacrylamides can be used.
  • Polymers that form several aqueous phases such as dextrans, polyalkylene glycols or surfactants, such as phospholipids, long chain (12-24 carbon atoms) alkyl ammonium salts and the like are also suitable.
  • the solid surface is porous, various pore sizes can be employed depending upon the nature of the system.
  • immunoassay systems can be used, including but not limited to, radio-immunoassays (RIA), enzyme-linked immunosorbent assays (ELISA) assays, enzyme immunoassays (EIA), “sandwich” assays, gel diffusion precipitation reactions, immunodiffusion assays, agglutination assays, immunofluorescence assays, fluorescence activated cell sorting (FACS) assays, immunohistochemical assays, protein A immunoassays, protein G immunoassays, protein L immunoassays, biotin/avidin assays, biotin/streptavidin assays, immunoelectrophoresis assays, precipitation/flocculation reactions, immunoblots (Western blot; dot/slot blot); immunodiffusion assays; liposome immunoassay, chemiluminescence assays, library screens, expression arrays, etc., immunoprecipitation, competitive methods
  • the methods of this invention can also be carried out using a variety of solid phase systems, such as described in U.S. Pat. No. 5,879,881, as well as in a dry strip lateral flow system (e.g., a “dipstick” system), such as described, for example, in U.S. Patent Publication No. 20030073147, the entire contents of each of which are incorporated by reference herein.
  • solid phase systems such as described in U.S. Pat. No. 5,879,881
  • a dry strip lateral flow system e.g., a “dipstick” system
  • antibody refers to all types of immunoglobulins, including IgG, IgM, IgA, IgD, and IgE.
  • the antibody can be monoclonal or polyclonal and can be of any species of origin, including, for example, mouse, rat, rabbit, horse, goat, sheep or human, or can be a chimeric or humanized antibody. See, e.g., Walker et al., Molec. Immunol. 26:403-11 (1989).
  • the antibodies can be recombinant monoclonal antibodies produced according to the methods disclosed in U.S. Pat. No. 4,474,893 or U.S. Pat. No. 4,816,567.
  • the antibodies can also be chemically constructed according to the method disclosed in U.S. Pat. No. 4,676,980.
  • the antibody can further be a single chain antibody or bispecific antibody.
  • Antibody fragments included within the scope of the present invention include, for example, Fab, F(ab′)2, and Fc fragments, and the corresponding fragments obtained from antibodies other than IgG.
  • Such fragments can be produced by known techniques.
  • F(ab′)2 fragments can be produced by pepsin digestion of the antibody molecule, and Fab fragments can be generated by reducing the disulfide bridges of the F(ab′)2 fragments.
  • Fab expression libraries can be constructed to allow rapid and easy identification of monoclonal Fab fragments with the desired specificity (Huse et al., (1989) Science 254:1275-1281).
  • Monoclonal antibodies can be produced in a hybridoma cell line according to the technique of Kohler and Milstein, (1975) Nature 265:495-97.
  • a solution containing the appropriate antigen can be injected into a mouse and, after a sufficient time, the mouse sacrificed and spleen cells obtained.
  • the spleen cells are then immortalized by fusing them with myeloma cells or with lymphoma cells, typically in the presence of polyethylene glycol, to produce hybridoma cells.
  • the hybridoma cells are then grown in a suitable medium and the supernatant screened for monoclonal antibodies having the desired specificity.
  • Monoclonal Fab fragments can be produced in bacterial cell such as E. coli by recombinant techniques known to those skilled in the art. See, e.g., W. Huse, (1989) Science 246:1275-81.
  • Antibodies can also be obtained by phage display techniques known in the art or by immunizing a heterologous host with a cell containing an epitope of interest.
  • sample as used herein is used in its broadest sense.
  • a biological sample suspected of containing a polypeptide, fragment, antibody and/or nucleic acid of this invention can be any biological fluid, an extract from a cell, an extracellular matrix isolated from a cell, a cell (in solution or bound to a solid support), a tissue, a tissue print, and the like.
  • a “pharmaceutically acceptable” component such as a salt, carrier, excipient or diluent of a composition according to the present invention is a component that (i) is compatible with the other ingredients of the composition in that it can be combined with the compositions of the present invention without rendering the composition unsuitable for its intended purpose, and (ii) is suitable for use with subjects as provided herein without undue adverse side effects (such as toxicity, irritation, and allergic response). Side effects are “undue” when their risk outweighs the benefit provided by the composition.
  • Non-limiting examples of pharmaceutically acceptable components include, without limitation, any of the standard pharmaceutical carriers such as phosphate buffered saline solutions, water, emulsions such as oil/water emulsion, microemulsions and various types of wetting agents.
  • standard pharmaceutical carriers such as phosphate buffered saline solutions, water, emulsions such as oil/water emulsion, microemulsions and various types of wetting agents.
  • a variety of protocols for detecting the presence of and/or measuring the amount of an antibody or antibodies in a sample are known in the art. Such protocols are well known in the art and non-limiting examples include enzyme immunoassays (ETA), agglutination assays, immunoblots (Western blot; dot/slot blot, etc.), radioimmunoassays (RIA), immunodiffusion assays, chemiluminescence assays, antibody library screens, expression arrays, enzyme-linked immunosorbent assays (ELISA), radioimmunoassays (RIA), immunoprecipitation, Western blotting, competitive binding assays, immunofluorescence, immunohistochemical staining precipitation/flocculation assays and fluorescence-activated cell sorting (FACS).
  • enzyme immunoassays ETA
  • agglutination assays immunoblots (Western blot; dot/slot blot, etc.)
  • the present invention further provides isolated polypeptides, peptides, proteins and/or fragments that are substantially equivalent to those described for this invention.
  • substantially equivalent can refer both to nucleic acid and amino acid sequences, for example a mutant sequence, that varies from a reference sequence by one or more substitutions (e.g., substitution with conservative amino acids as are well known in the art), deletions and/or additions, the net effect of which does not result in an undesirable adverse functional dissimilarity between reference and subject sequences.
  • this invention can include substantially equivalent sequences that have an adverse functional dissimilarity. For purposes of the present invention, sequences having equivalent biological activity and equivalent expression characteristics are considered substantially equivalent.
  • the invention further provides homologues, as well as methods of obtaining homologues, of the polypeptides and/or fragments of this invention from other strains of Chlamydia and/or other organisms included in this invention.
  • an amino acid sequence or protein is defined as a homologue of a polypeptide or fragment of the present invention if it shares significant homology to one of the polypeptides and/or fragments of the present invention.
  • Significant homology means at least 75%, 80%, 85%, 90%, 95%, 98% and/or 100% homology with another amino acid sequence.
  • nucleic acids that encode the chlamydial proteins of this invention as are known in the art and incorporated by reference herein
  • a probe or primer as a probe or primer
  • techniques such as PCR amplification and colony/plaque hybridization
  • homologues of the polypeptides and/or fragments of this invention in Chlamydia and/or other organisms on the basis of information available in the art.
  • a homologue of a Chlamydia trachomatis protein of this invention can include a protein of Chlamydia muridarum, Chlamydia pneumoniae, Chlamydia psittaci or Chlamydia caviae identified to be a homologue according to methods well known in the art and as described herein. It would be well understood by one of ordinary skill in the art that such homologues (either complete proteins and/or immunologically reactive fragments thereof) can be employed in the methods of this invention. The identification and testing of such homologues for suitability as antigens in the methods of this invention is well within the skill of one in the art.
  • Chlamydia trachomatis Such homologues among the proteins of Chlamydia trachomatis, Chlamydia muridarum, Chlamydia pneumoniae, Chlamydia psittaci and Chlamydia caviae are well known in the art.
  • a listing of Chlamydia pneumoniae proteins and the Chlamydia trachomatis homologues of these proteins can be found in U.S. Pat. No. 6,822,071, the entire contents of which are incorporated by reference herein for these teachings.
  • the present invention provides the antigens of this invention immobilized on a solid support (e.g., beads, plates, slides or wells formed from materials such as, e.g., latex or polystyrene).
  • a solid support e.g., beads, plates, slides or wells formed from materials such as, e.g., latex or polystyrene.
  • solid supports include polycarbonate, agarose, nitrocellulose, sepharose, acrylic resins, polyacrylamide and latex beads, as well as any other solid support known in the art. Techniques for coupling antibodies and antigens to such solid supports are well known in the art (Weir et al., Handbook of Experimental Immunology 4th Ed., Blackwell Scientific Publications, Oxford, England, Chapter 10 (1986)).
  • Antibodies and/or antigens of this invention can likewise be conjugated to detectable groups such as radiolabels (e.g., 35 S, 125 I, 131 I), enzyme labels (e.g., horseradish peroxidase, alkaline phosphatase), and fluorescence labels (e.g., fluorescein) in accordance with known techniques.
  • detectable groups such as radiolabels (e.g., 35 S, 125 I, 131 I), enzyme labels (e.g., horseradish peroxidase, alkaline phosphatase), and fluorescence labels (e.g., fluorescein) in accordance with known techniques.
  • radiolabels e.g., 35 S, 125 I, 131 I
  • enzyme labels e.g., horseradish peroxidase, alkaline phosphatase
  • fluorescence labels e.g., fluorescein
  • Determination of the formation of an antibody/antigen complex in the methods of this invention can be by detection of, for example, precipitation, agglutination, flocculation, radioactivity, color development or change, fluorescence, luminescence, etc., as is well know in the art.
  • kits for detection, in a biological sample, of antibodies specifically reactive to antigens of this invention can comprise one or more antigens of this invention, along with suitable buffers, wash solutions and/or other reagents for the detection of antibody/antigen complex formation.
  • a kit of this invention can comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of 1) an antibody that specifically reacts with Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, 2) an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof and 3) Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof.
  • antigens e.g., a diagnostic panel
  • reagents for detecting, in a biological sample, the presence or absence of 1) an antibody that specifically reacts with Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, 2) an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof and 3) Chlamydia trachomati
  • the kit described in this paragraph can further comprise, consist essentially of or consist of antigens (e.g., as additional components of a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of Chlamydia trachomatis HSP60 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT376 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT557 protein or an immunologically reactive fragment thereof, and any combination thereof.
  • antigens e.g., as additional components of a diagnostic panel
  • reagents for detecting, in a biological sample, the presence or absence of Chlamydia trachomatis HSP60 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT376 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT557 protein or an immunologically reactive fragment thereof, and any combination thereof.
  • a kit of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof.
  • kit can further include, in its diagnostic panel, an antigen of Chlamydia trachomatis HSP60 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT376 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT557 protein or an immunologically reactive fragment thereof, and any combination thereof.
  • a kit of this invention can comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of 1) an antibody that specifically reacts with Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, 2) an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, 3) Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof and 4) an antigen of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • antigens e.g., a diagnostic panel
  • a kit of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof and an antigen of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • kits of this invention comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof.
  • a kit can further comprise, consist essentially of or consist of antigens (e.g., as additional components of a diagnostic panel) and reagents for detecting in a biological sample, the presence or absence of an antibody that specifically reacts with Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • kits of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof.
  • a kit can further comprise, consist essentially of or consist of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • kits of this invention can comprise one or more containers and/or receptacles to hold the reagents (e.g., antibodies, antigens, nucleic acids) of the kit, along with appropriate buffers and/or wash solutions and directions for using the kit, as would be well known in the art.
  • reagents e.g., antibodies, antigens, nucleic acids
  • C. trachomatis antigens that can be used to differentially diagnose tubal factor infertility in comparison to previously reported Heat Shock Protein 60 (HSP60).
  • Chlamydia trachomatis is the primary sexually transmitted infection responsible for tubal factor infertility (TFI) (5-7) with C. trachomatis antibodies in approximately 70% of patients (8).
  • C. trachomatis infected cells produce inflammatory cytokines (9-10) which may contribute to upper genital tract inflammatory damage (11-13).
  • Lunefeld et al. found that among patients undergoing in vitro fertilization, those with C. trachomatis antibodies had decreased pregnancy rates (14).
  • C. trachomatis infection is often asymptomatic so patient history cannot dictate the presence of tubal disease (15-16). Elevated titers of anti- C. trachomatis antibodies are associated with TFI, but detection of overall antibody levels lacks the sensitivity and specificity required for differential diagnosis (17).
  • Measuring anti- C. trachomatis antibodies at the single antigen level may offer increased sensitivity and specificity for predicting TFI. Elevated anti-chlamydial heat shock protein 60 (HSP60, CT110) antibodies are associated with TFI (18-27). Anti-HSP60 antibodies are associated with decreased pregnancy rates in patients with an ectopic pregnancy history (17). When HSP60 antibodies are in follicular fluid, there are decreased implantation rates (28-29). Some have postulated that chlamydial HSP60 incites a strong inflammatory response that may cross-react with the highly conserved human HSP60 (25, 30-31). HSP60 may induce T-cell responses that contribute to the tubal damage (32-33).
  • IFC patients Thirty one TFI and 23 IFC patients were enrolled at the University of Texas Health Science Center at San Antonio following Institutional Review Board approval. All women were at least 21 years old and underwent diagnostic laparoscopy with chromotubation as part of their infertility evaluation. Diagnosis of tubal infertility was defined as fallopian pathology consistent with hydrosalpinx, fimbrial phimosis, or peri-tubal adhesions. Exclusion criteria included prior tubal ligation, surgical finding of endometriosis, or a history of pelvic infection or inflammation other than pelvic inflammatory disease such as appendicitis. IFC patients had normal pelvic findings and tubal patency at laparoscopy. After the blood draw, serum samples were stored at ⁇ 20° C. until analyzed.
  • HeLa cells (American Type Culture Collection, Manassas Va. 20108) were cultured in DMEM (GIBCO PRL, Rockville, Md.) with 10% fetal calf serum (FCS; GIBCO BRL) at 37° C. with 5% carbon dioxide (CO 2 ) (34-36).
  • C. trachomatis serovar D or Chlamydia pneumoniae AR39 organisms were grown, purified and titrated as previously described (36-38).
  • chlamydial organisms were used to infect HeLa cells grown on glass coverslips in 24-well plates.
  • the sub-confluent HeLa cells were treated with DMEM containing 304 ml of DEAE-Dextran (Sigma, St. Louis, Mo.) for 10 minutes at 37° C. After removal of DEAE-Dextran solution, chlamydial organisms were added to the wells for 2 hours at 37° C. The infected cells were continuously cultured in DMEM with 10% FCS and 2 ⁇ g/ml of cycloheximide (Sigma, St. Louis, Mo.).
  • Anti-chlamydial organism antibodies in human sera were titrated using an Immunofluorescence assay (IFA) as previously described (34, 36, 39, 40). Briefly, HeLa cells grown on coverslips were infected with C. trachomatis or C. pneumoniae organisms, fixed 48 h post-infection for C. trachomatis and 72 h for C. pneumoniae with 2% paraformaldehyde, and permeabilized with 2% saponin at room temperature for 1 hour. After blocking, human sera were added to the Chlamydia -infected cell samples.
  • IFA Immunofluorescence assay
  • the primary Ab binding was visualized with a goat anti-human IgG conjugated with Cy3 (red; Jackson ImmunoResearch Laboratories, West Grove, Pa.), and DNA was labeled with Hoechst dye (blue; Sigma-Aldrich).
  • the highest dilution of a serum that still gave a positive reactivity was defined as the titer of the given serum sample.
  • Serum samples were serially diluted and the appropriate dilutions were repeated multiple times based on the results obtained from prior dilutions in order to obtain a more accurate titer for each serum. Images were acquired with an Olympus AX70 fluorescence microscope equipped with multiple filter sets (Olympus, Melville, N.Y.) as previously described (36, 40).
  • Glutathione S-transferase (GST) fusion protein enzyme-linked immunosorbent assay (ELISA) for detecting human antibody recognition of chlamydial proteins was carried out as previously described (36).
  • Bacterial lysates containing individual chlamydial GST fusion proteins were added to 96 well microplates pre-coated with glutathione (Pierce, Rockford, Ill.) at a 1:10 dilution in PBS with a total volume of 200 ⁇ l/well. Lysates containing GST alone, as negative, and GST-chlamydial protease-like activity factor (CPAF), as positive controls, were also included on each plate. The plates were incubated overnight at 4° C. to allow GST fusion proteins to bind to the plate-immobilized glutathione then blocked with 2.5% milk in PBS and washing with PBST (PBS with 0.05% Tween 20; Sigma Aldrich).
  • PBST PBS with 0.05% Tween 20; Sigma Aldrich
  • the human sera were pre-absorbed with bacterial lysates containing GST at 4° C. overnight, then incubated with glutathione beads (bioWorld, Dublin, Ohio) for 1 hour at room temperature to reduce background caused by non-specific human antibodies.
  • the human antibody reactivity was detected with a goat anti-human-IgG, IgA and IgM conjugated with horse-radish peroxidase (HRP; Jackson ImmunoResearch Laboratories) plus the substrate 2,2′-azino-bi(2-ethylbenzothiazoline-6-sulforic acid)diammonium salt (ABTS; Sigma).
  • HRP horse-radish peroxidase
  • ABTS 2,2′-azino-bi(2-ethylbenzothiazoline-6-sulforic acid)diammonium salt
  • the optical density (OD) was measured at 405 nm using a microplate reader (Molecular Devices Corporation, Sunnyvale, Calif.).
  • the serum titers were evaluated by ranges of ⁇ 1:10 (Negative), 1:10 to 1:10,000 (Low), and >1:10,000 (High). Chi-Squared and Fisher's Exact Test were employed to compare overall antibodies to C. trachomatis and antibodies to C. pneumoniae.
  • Table 1 shows titers of human antibodies against C. trachomatis and C. pneumoniae .
  • Serum samples from women with TFI and IFC were 2 fold serially diluted starting with 1:10 and reacted with HeLa cells infected with either C. trachomatis or C. pneumoniae .
  • the antibody reactivity was detected using an immunofluorescence assay as described herein. The highest dilution that still gave a positive reactivity was defined as the serum titer.
  • Each serum sample was titrated in triplicate and the average was used as the geometric titer of a given serum sample. Student's t-Test was used to quantitatively analyze the differences between the two groups of patients. There is a statistically significant difference in titers of antibodies against C.
  • Table 2 shows reactivity of 30 C. trachomatis antigens with 54 patient sera at 1:800 dilution.
  • the mean ODs of each antigen were compared between TFI and IFC groups using Student t-Test and the corresponding p values confirmed that all 30 antigens were significantly recognized by TFI patients.
  • HSP60 displayed a detection specificity of 82.6% and sensitivity of 71% and many other immunodominant antigens such as pCTO3 (Pgp3, a plasmid-encoded secreted protein), CT858 (CPAF, a chlamydial protease/proteasome-like activity factor that is secreted into host cell cytosol), CT823 (cHtrA, a secreted stress response serine protease), CT813 (an inclusion membrane protein), CT443 (OmcB, outer membrane complex protein B) and CT143 (a hypothetical protein) behaved similarly. Only the hypothetical protein CT557 had 100% specificity but its sensitivity was only 29%. Thus, under this assay condition, no single antigen or combinations of antigens can achieve 100% specificity with a sensitivity of >50%.
  • antigens that can be used to predict TFI in infertility clinics.
  • the 30 antigens preferentially recognized by TFI patients were reacted with sera from all 54 patients (including 31 TFI and 23 IFC) regardless of their overall anti- C. trachomatis antibody titers,
  • the HSP60 (CT110) reacted with 22 of the 31 TFI and 4 of the 23 IFC sera with a specificity and sensitivity of 82.6% and 71.0%, respectively, in predicting TFI.
  • CT443 reacted with 18 of the 31 TFI sera, maintaining a sensitivity of 58.1%.
  • the 10 antigens were analyzed at each individual antiserum level, it was found that the 10 antigens all together reacted with 21 independent sera of 31 total TFI sera, with a sensitivity of 67.7%. More importantly, this sensitivity can be maintained using fewer antigens.
  • Combining HSP60 with CT376, CT381 and CT798 (total 4 antigens) or CT443 with CT381 (only 2 antigens) maintains sensitivity of 67.7%.
  • their detection sensitivity can be 80% even after serum dilution. Due to their ability to generate false positive results by reacting with IFC samples, it is clinically undesirable to use these antigens for screening for TFI.
  • C. trachomatis organisms cause pathologies in the fallopian tubes, leading to complications such as ectopic pregnancy and infertility. Since infertility can be caused by many different factors, distinguishing tubal infertility from other causes is useful for guiding treatment plans.
  • the goal of the current study is to identify C. trachomatis antigens that can improve specificity and sensitivity in detecting TFI.
  • Hysterosalpingogram has a detection specificity and sensitivity of 83% and 65% respectively for detecting tubal pathology (47).
  • C. trachomatis antigen-based serology diagnosis has numerous advantages over HSG besides improved detection, including sparing patients from the discomfort, radiation, and potential for infectious sequellae. This conclusion is consistent with previous reports that elevated chlamydial antibody levels are comparable to HSG (48) in diagnosing TFI and that HSG does not add to the medical knowledge on whether C. trachomatis infection contribute to tubal pathology (49).
  • a whole genome scale C. trachomatis proteome array was used to compare antibody specificity profiles among women with tubal factor infertility, normal fertility and acute C. trachomatis infection. Thirteen immunodominant antigens reacted with ⁇ 50% antisera from all women. Ten C. trachomatis antigens were uniquely recognized by women diagnosed with tubal factor infertility. Assessing antigen fragments with serum sample dilution, chlamydial antigens HSP60, CT376, CT557 & CT443 could discriminate between women with tubal factor infertility and women with normal fertility at a sensitivity of 63% and specificity of 100%, respectively.
  • Chlamydia trachomatis is a leading cause of sexually transmitted bacterial infection (STI) in the US, affecting over one million women in 2008 alone (1).
  • STI sexually transmitted bacterial infection
  • C. trachomatis infection is often undiagnosed and untreated because it is asymptomatic. If untreated, C. trachomatis infection may lead to ascending infection, causing complications such as ectopic pregnancy and tubal factor infertility (1-2).
  • 1-2 tubal factor infertility
  • not all women infected with C. trachomatis develop tubal damage. Up to 50% of women with normal fallopian tubes on laparoscopy or normal fertility have developed high titers of anti- C.
  • C. trachomatis antibodies (3). It is not clear what determines whether a C. trachomatis - exposed woman will develop tubal pathology and complications. Nevertheless, the severity and number of episodes of C. trachomatis infection can contribute to tubal pathology. Since host immune responses reflect both infection status and host responsiveness to infection, monitoring specific antibody responses to C. trachomatis infection may lead to the identification of biomarkers that correlate with tubal pathology. Women with robust antibody responses to the C. trachomatis major outer membrane protein (MOMP) are less likely to develop tubal pathology while those who generate high titers of anti-HSP60 antibodies are at a significantly higher risk of developing tubal factor infertility (TFI) (4). High resolution mapping of host antibody responses to C. trachomatis infection may aid in the identification of C. trachomatis antigens associated with TFI.
  • MOMP major outer membrane protein
  • TFI tubal factor infertility
  • C. trachomatis antigens that are preferentially recognized by different groups of women with diverse socio-economic status. It was found that C. trachomatis antigens such as HSP60, which have previously been shown to be associated with TFI (5), were also highly reactive with antisera from women with acute C. trachomatis urogenital tract infection. Thus, TFI-associated antigens including HSP60 cannot predict tubal factor infertility in the general female population.
  • a whole genome scale proteome array was used to define a set of 21 antigens for distinguishing women with acute C. trachomatis infection from other C. trachomatis - exposed women. It is demonstrated that distinct panels of C. trachomatis antigens may be used to predict pathology and/or clinic phenotypes caused by C. trachomatis infection.
  • Exclusion criteria included prior tubal ligation, surgical finding of endometriosis, or a history of pelvic infection or inflammation other than pelvic inflammatory disease, such as appendicitis.
  • HeLa cells (American Type Culture Collection) were cultured in Dulbecco's minimum essential medium (DMEM; GIBCO) with 10% fetal calf serum (GIBCO) at 37° C. with 5% CO 2 .
  • DMEM Dulbecco's minimum essential medium
  • GIBCO 10% fetal calf serum
  • C. trachomatis serovar D or C. pneumoniae AR39 organisms were grown, purified, and titrated as previously described (3, 5, 13, 15).
  • chlamydial organisms were used to infect HeLa cells grown on glass coverslips in 24-well plates. The subconfluent HeLa cells were treated with DMEM containing 30 mg/mL of DEAE-Dextran (Sigma) for 10 minutes at 37° C.
  • chlamydial organisms were added to the wells for 2 hours at 37° C.
  • the infected cells were continuously cultured in DMEM with 10% fetal calf serum and 2 mg/mL of cycloheximide (Sigma) for 48 h ( C. trachomatis ) or 72 h ( C. pneumoniae ) before sample processing.
  • Antichlamydial organism antibodies in human sera were titrated using an immunofluorescence assay as previously described (3, 5). Briefly, HeLa cells grown on coverslips were infected with C. trachomatis or C. pneumoniae organisms, fixed with 2% paraformaldehyde, and permeabilized with 2% saponin at room temperature for 1 hour. After blocking, human sera were added to the Chlamydia -infected cell samples. The primary antibody binding was visualized with a goat anti-human IgG conjugated with Cy3 (red; Jackson ImmunoResearch Laboratories), and DNA was labeled with Hoechst dye (blue; Sigma-Aldrich).
  • the highest dilution of a serum that still gave a positive reactivity was defined as the titer of the given serum sample.
  • Serum samples were serially diluted, and the appropriate dilutions were repeated multiple times according to the results obtained from prior dilutions, to obtain a more accurate titer for each serum. Images were acquired with an Olympus AX70 fluorescence microscope equipped with multiple filter sets, as previously described (16-17).
  • Glutathione S-transferase (GST) fusion protein ELISA for detecting human antibody recognition of chlamydial proteins was carried out as previously described (11-12). Bacterial lysates containing individual chlamydial GST fusion proteins were added to 96-well microplates precoated with glutathione (Pierce) at a 1:10 dilution in PBS, with a total volume of 200 ⁇ L per well. Lysates containing GST alone, as negative, and GST-chlamydial protease/proteasome-like activity factor (CPAF), as positive controls, were also included on each plate. The plates were incubated overnight at 4° C.
  • GST GST-chlamydial protease/proteasome-like activity factor
  • the human antibody reactivity was detected with a goat anti-human IgG, IgA, and IgM conjugated with horseradish peroxidase (Jackson ImmunoResearch Laboratories) plus the substrate 2,20-azino-bi (2-ethylbenzothiazoline-6-sulforic acid)diammonium salt (Sigma).
  • the optical density (OD) was measured at 405 nm using a microplate reader (Molecular Devices). To confirm the antibody binding specificity, all sera were further absorbed with lysates made from either HeLa cells alone or C. trachomatis serovar D-infected HeLa cells before reacting with the fusion protein-coated plates.
  • the absorption was carried out as follows: HeLa cells with or without chlamydial infection were lysed via sonication at 2 ⁇ 10 7 cells per milliliter of PBS containing a cocktail of protease inhibitors. The prediluted serum samples were incubated with cell lysates overnight at 4° C. before reacting with the plate-immobilized chlamydial fusion proteins. The antibody binding that remained positive after HeLa-alone lysate absorption but significantly reduced by Chlamydia -HeLa lysate absorption was considered true positive.
  • STI women were significantly younger (mean age 21.8 ⁇ 3.1 years) than both TFI (34.6 ⁇ 4.4, p ⁇ 0.05) and FC (32.5 ⁇ 5.7, p ⁇ 0.05), respectively, while the TFI and FC women displayed similar ages (p>0.05). These results are consistent with a general concept that anti- C. pneumoniae antibody levels increase as age increases (18-19).
  • the STI group was significantly younger than both the TFI and FC groups as noted above.
  • the anti- C. trachomatis antibody titers decreased as age progressed, probably due to reduced exposure to C. trachomatis . This observation is consistent with CDC data showing that adolescents and young women ages 15 to 24 are at the highest risk for STIs (2).
  • Anti- C. trachomatis antibodies from 24 TFI, 25 FC and 24 STI women were profiled for their antigen-specificities at a genome-wide scale. These 73 antisera recognized C. trachomatis antigens distributed across the entire genome with 541 antigens recognized by at least one antiserum and 367 antigens not detected by any antisera. Many C. trachomatis antigens were recognized by all 3 groups of women although some antigens were preferentially recognized by individual or combinations of groups.
  • the reactivity of the antiserum samples with each of the 908 C. trachomatis antigens was compared between the 3 groups of women both quantitatively (comparison of OD values using ANOVA) and qualitatively (comparison of recognition frequency using Fisher's Exact test). Antigens that displayed statistically significant differences in antibody reactivity (either quantitatively or qualitatively) and were recognized by 10% or more of the antisera from at least one group of women were selected. There were a total of 97 antigens that met both the above requirements. The use of 10% cutoff for recognition frequency was set to eliminate antigens with extremely low reactivities that were no longer biologically significant, although statistically significant.
  • CT110 the chlamydial HSP60
  • Antigen CT376 reacted with additional 3 TFI samples while CT557 reacted with another 2 TFI samples.
  • CT443 the outer membrane complex protein B (OmcB) was recognized by TFI women with the highest frequency and intensity (both were significantly higher compared to FC women). Testing was done to determine whether a combination of human serum dilution and CT443 fragments could help to further differentiate TFI from FC women ( FIG.
  • CT443 full length (FL) proteins were expressed in 12 different fragments, all of which were used to react with both TFI and FC women antisera at different dilutions. Only the fragments representing the C-terminal portion of CT443, including fragments 9 (F9), 11 and 12, were reactive with human antisera. Nevertheless, at each human serum dilution, the CT443 fragments produced significantly greater differences than the full length CT443 did in antibody reactivity between TFI and FC samples.
  • These antigens could be used to distinguish STI patients from those in other groups. These antigens have been designated as acute infection-associated antigens.
  • 13 of the 21 acute infection-associated antigens maintained positive reactivity with STI samples, but failed to react with any serum samples from either TFI or FC women ( FIG. 5 ). The reactivity patterns of these 13 acute infection-associated antigens revealed that CT875 reacted with 14 out of the 24 STI serum samples.
  • CT147 reacted with an additional STI sample (although the rest reacted with STI samples already detected by CT875 and CT147).
  • antigens CT875 and CT147 together can be used to distinguish STI women from the rest of women with a detection sensitivity of 63% and a specificity of 100%.
  • Continuing optimization of the detection system and use of acute infection-associated antigen fragments may allow for further increases in detection sensitivity while maintaining high specificity.
  • Table 3 shows titers of antibodies against C. trachomatis and C. pneumoniae in women with tubal factor infertility (TFI), normal fertility (FC) or acute infection (STI).
  • Serum samples from women with TFI, FC, or STI were 2-fold serially diluted starting with 1:10 and reacted with HeLa cells infected with either C trachomatis or C pneumoniae . The highest dilution that still gave a positive reactivity was defined as the serum titer.
  • ANOVA was used to analyze the overall differences among the 3 groups. There is a statistically significant difference in titers of antibodies against both C. trachomatis and C. pneumoniae . However, further pairwise analyses with Student's t-Test reveals significantly higher titers of anti- C. trachomatis but lower titers of anti- C. pneumoniae antibodies in STI women.
  • Table 4 shows antigens preferentially recognized by women with tubal factor infertility (TFI) but not normal fertility (FC).
  • FFI tubal factor infertility
  • FC normal fertility
  • Table 5 shows antigens that are most significantly recognized by women with acute C. trachomatis infection.
  • Each of the 541 human antibody-reactive C. trachomatis antigens was compared for their reactivities with antisera from STI versus TFI or FC women using Student's t-Test (for comparing OD values in mean plus/minus standard deviations) and Fisher's Exact Test (for comparing reactive frequencies, Freq; a positive reaction was identified if the OD value is equal to or above the mean plus 2 standard deviations).
  • Antigens that displayed the most differences and were recognized by STI women with a recognition frequency of 30% or higher were selected.
  • CT443 or OmcB outer membrane complex protein B was found to react with serum samples only from tubal factor but not non-tubal infertility patients in the previous study (5).
  • CT443 was recognized by both TFI and FC women in the current study, the reactivity of CT443 with TFI women was significantly stronger than that with FC women.
  • CT443 or CT443 fragments were able to differentiate TFI from FC samples.
  • CT443 F11 reacted with 50% TFI but only 4% FC. Additional modifications of F11 may eliminate the residual FC reactivity.
  • Further dilution of human sera to 1:10,000 completely removed the reactivity of CT443 with FC samples but allowed reactivity of CT443 with 38% of TFI samples.
  • the antigens identified above can distinguish TFI from FC women with 100% specificity, these antigens were also found to be strongly reactive with serum samples from women diagnosed with acute C. trachomatis infection from a STI clinic. Fortunately, the power of the whole genome scale proteome array has also allowed or the identification of 21 C. trachomatis antigens that were preferentially recognized by STI but not TFI nor FC women. Two of the 21 acute infection-associated antigens, CT875 and CT147, distinguished STI women from TFI and FC women with a detection sensitivity of 63% and a specificity of 100%. Continued optimization of the detection system and use of acute infection-associated antigen fragments may allow for further increases in detection sensitivity while maintaining high specificities.
  • the acute infection-associated antigens were all poorly recognized by both TFI and FC women suggesting that women in the TFI and FC groups were exposed to C. trachomatis in the past without ongoing infection. All STI women were detected positive for C. trachomatis DNA in vaginal swab samples at the time when sera were taken (11-12). However, the C. trachomatis status in either TFI or FC women was not specifically monitored when blood samples were collected. Nevertheless, physical examination revealed that none of the TFI and FC women displayed any sign of acute C. trachomatis infection in the lower genital tract (data not shown) and the nucleic acid detection rate was very low in patients who visited the same infertility or OB/GYN clinics in the past. Thus, the acute infection-associated antigens may represent useful biomarkers for indicating recent infection.
  • CT376 and CT557 are highly conserved metabolic enzymes: malate dehydrogenase (334 amino acids) and dihydrolipoamide dehydrogenase (pyruvate dehydrogenase E3 component, 465 amino acids), respectively. These enzymes share high degrees of amino acid sequence homology with their host counterparts with 43% for CT376 and 38% for CT557, respectively. These metabolic enzymes are supposed to be localized in the cytoplasm of chlamydial organisms and should not be leaked into host cells during chlamydial infection. As with the cytoplasmic HSP60, CT376 and CT557 may be released into host environments after RB lysis.
  • CT443 or OmcB is an immunodominant protein in the outer membrane complex known as outer membrane complex protein B, although its precise location in chlamydial organisms remains unclear. It has been shown that a CT443 C-terminal fragment is released into host cell cytosol (22), which may explain the high immunogenicity of CT443 C-terminus since chlamydial proteins secreted into or exposed to host cell cytosol are known to be more immunogenic (32-33). Consistent with this concept is the current finding that most human antibodies recognized CT443 fragments covering the C-terminal regions and a previous report that a CD8+ T cell epitope was mapped to CT443 C-terminus (34).
  • FC ORFs Freq Mean ⁇ SD Freq Mean ⁇ SD Freq Mean ⁇ SD Freq Mean ⁇ SD Freq Mean ⁇ SD t-Test Fisher's t-Test Fisher's t-Test Fisher's CT147 88% 0.937 ⁇ 0.776 21% 0.161 ⁇ 0.191 16% 0.117 ⁇ 0.213 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 0.455 0.661 CT442 83% 0.841 ⁇ 0.701 17% 0.151 ⁇ 0.303 20% 0.113 ⁇ 0.229 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 0.623 0.763 CT529 100% 1.040 ⁇ 0.620 42% 0.293 ⁇ 0.310 32% 0.227 ⁇ 0.341 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 ⁇ 0.001 0.483 0.482 CT119 75% 0.603 ⁇ 0.681 13% 0.124 ⁇ 0.212 4% 0.040 ⁇ 0.072 0.002 ⁇ 0.001 ⁇ 0.00
  • ENPVP 254. NPVPD 255. PVPDG 256. VPDGY 257. PDGYA 258. DGYAH 259. GYAHS 260. YAHSS 261. AHSSG 262. HSSGQ 263. SSGQR 264. SGQRV 265. GQRVL 266. QRVLT 267. RVLTF 268. VLTFT 269. LTFTL 270. TFTLG 271. FTLGD 272. TLGDM 273. LGDMQ 274. GDMQP 275. DMQPG 276. MQPGE 277. QPGEH 278. PGEHR 279. GEHRT 280. EHRTI 281. HRTIT 282. RTITV 283. TITVE 284.
  • VVDTC 444 VDTCD 445.
  • DTCDP 446 TCDPV 447.
  • CDPVC 448 DPVCV 449.
  • PVCVG 450 VCVGE 451.
  • ENTVY 455. NTVYR 456.
  • EDTNV 470 DTNVS 471.
  • EILMI 660 ILMIP 661. LMIPY 662. MIPYY 663. IPYYG 664. PYYGE 665. YYGEE 666. YGEEI 667. GEEIK 668. EEIKH 669. EIKHL 670. IKHLV 671. KHLVL 672. HLVLV 673. LVLVF 674. VLVFK 675. LVFKG 676. VFKGE 677. FKGEN 678. KGENK 679. GENKH 680. ENKHP 681. NKHPL 682. KHPLP 683. HPLPL 684.
  • RSFDS 715 SFDST 716. FDSTL 717. DSTLE 718. STLEV 719. TLEVL 720. LEVLM 721. EVLME 722. VLMEV 723. LMEVM 724. MEVMH 725. EVMHG 726. VMHGK 727. MHGKS 728. HGKSP 729. GKSPV 730. KSPVA 731. SPVAV 732. PVAVL 733. VAVLE 734. AVLEP 735. VLEPS 736. LEPSI 737. EPSIA 738. PSIAQ 739. SIAQV 740. IAQVV 741. AQVVL 742. QVVLK 743. VVLKD 744.
  • WGLNN 5-mer peptides of CT875 (hypothetical protein, 591 amino acids), ACCESSION#: NP 219502.1, GI: 15604718 (SEQ ID NOS: 803-1389) 803.
  • MSIRG 804. SIRGV 805. IRGVG 806. RGVGG 807. GVGGN 808.
  • SNRRS 824. NRRSQ 825. RRSQN 826.
  • ERGAD 1234 RGADG 1235. GADGT 1236. ADGTY 1237. DGTYD 1238. GTYDI 1239. TYDIP 1240. YDIPL 1241. DIPLV 1242. IPLVD 1243. PLVDD 1244. LVDDW 1245. VDDWR 1246. DDWRR 1247. DWRRG 1248. WRRGV 1249. RRGVP 1250. RGVPS 1251. GVPSI 1252. VPSIE 1253. PSIEG 1254. SIEGE 1255. IEGEG 1256. EGEGS 1257. GEGSD 1258. EGSDS 1259. GSDSI 1260. SDSIY 1261. DSIYE 1262. SIYEI 1263.
  • VTQPQ 1352 TQPQE 1353.
  • QPQER 1354 PQERI 1355.
  • QERIP 1356 ERIPN 1357.
  • RIPNS 1358 IPNSQ 1359.
  • PNSQQ 1360 NSQQV 1361.
  • QVEGI 1364. VEGIL 1365.
  • RDMLT 1370 DMLTN 1371. MLTNG 1372.
  • GSQTF 1376 SQTFR 1377.
  • QTFRD 1378 TFRDL 1379.
  • RIYEI 1465 IYEIA 1466. YEIAL 1467. EIALK 1468. IALKI 1469.
  • ALKIL 1470 LKILT 1471.
  • QVKSV 1615 VKSVK 1616. KSVKD 1617. SVKDD 1618. VKDDV 1619. KDDVV 1620. DDVVL 1621. DVVLG 1622. VVLGD 1623. VLGDK 1624. LGDKA 1625. GDKAS 1626. DKAST 1627. KASTD 1628. ASTDL 1629. STDLY 1630. TDLYP 1631. DLYPI 1632. LYPIA 1633. YPIAQ 1634. PIAQQ 1635. IAQQA 1636. AQQAL 1637. QQALQ 1638. QALQA 1639. ALQAA 1640. LQAAG 1641. QAAGV 1642. AAGVG 1643.
  • GKDSH 1675 KDSHE 1676. DSHEA 1677. SHEAL 1678. HEALQ 1679. EALQQ 1680. ALQQY 1681. LQQYQ 1682. QQYQM 1683. QYQMR 1684. YQMRF 1685. QMRFL 1686. MRFLS 1687. RFLSS 1688. FLSSP 1689. LSSPI 1690. SSPIL 1691. SPILA 1692. PILAT 1693. ILATW 1694. LATWC 1695. ATWCG 1696. TWCGA 1697. WCGAG 1698. CGAGF 1699. GAGFS 1700. AGFSA 1701. GFSAS 1702. FSASA 1703. SASAQ 1704.
  • LRKKV 2080 RKKVQ 2081. KKVQA 2082. KVQAK 2083. VQAKE 2084. QAKEA 2085. AKEAS 2086. KEASL 2087. EASLE 2088. ASLEA 2089. SLEAL 2090. LEALT 2091. EALTK 2092. ALTKG 2093. LTKGE 2094. TKGEQ 2095. KGEQP 2096. GEQPS 2097. EQPSP 2098. QPSPT 2099. PSPTK 2100. SPTKK 2101. PTKKK 2102. TKKKT 2103. KKKTL 2104. KKTLK 2105. KTLKQ 2106. TLKQL 2107. LKQLS 2108. KQLSE 2109. QLSEG 2110. LSEGC 2111.
  • YASHQ 2202. ASHQR 2203. SHQRV 2204. HQRVH 2205. QRVHN 2206. RVHNG 2207. VHNGV 2208. HNGVK 2209. NGVKA 2210. GVKAK 2211. VKAKV 2212. KAKVN 2213. AKVNR 2214. KVNRT 2215. VNRTL 2216. NRTLE 2217. RTLEA 2218. TLEAF 2219. LEAFS 2220. EAFSQ 2221. AFSQL 2222. FSQLI 2223. SQLIK 2224. QLIKG 2225. LIKGL 2226. IKGLR 2227. KGLRG 2228. GLRGS 2229. LRGSL 2230. RGSLR 2231. GSLRN 2232.
  • LTWLP 2264 TWLPI 2265. WLPIM 2266. LPIML 2267. PIMLC 2268. IMLCV 2269. MLCVL 2270. LCVLA 2271. CVLAL 2272. VLALV 2273. LALVL 2274. ALVLE 2275. LVLEA 2276. VLEAI 2277. LEAIP 2278. EAIPS 2279. AIPSA 2280. IPSAL 2281. PSALS 2282. SALSI 2283. ALSIW 2284. LSIWV 2285. SIWVE 2286. IWVEK 2287. WVEKR 2288. VEKRN 2289. EKRNW 2290. KRNWK 2291. RNWKY 2292.
  • KLPEE 2352 LPEEQ 2353. PEEQK 2354. EEQKQ 2355. EQKQE 2356. QKQES 2357. KQESL 2358. QESLK 2359. ESLKS 2360. SLKSA 2361. LKSAV 2362. KSAVK 2363. SAVKA 2364. AVKAL 2365. VKALR 2366. KALRA 2367. ALRAD 2368. LRADA 2369. RADAK 2370. ADAKV 2371. DAKVL 2372. AKVLN 2373. KVLNK 2374. VLNKK 2375. LNKKF 2376. NKKFK 2377. KKFKK 2378. KFKKL 2379. FKKLP 2380.
  • LAEQR 2440 AEQRK 2441. EQRKA 2442. QRKAK 2443. RKAKF 2444. KAKFL 2445. AKFLE 2446. KFLEE 2447. FLEEL 2448. LEELL 2449. EELLV 2450. ELLVQ 2451. LLVQK 2452. LVQKR 2453. VQKRR 2454. QKRRD 2455. KRRDV 2456. RRDVS 2457. RDVSH 2458. DVSHL 2459. VSHLS 2460. SHLSH 2461. HLSHQ 2462. LSHQE 2463. SHQEA 2464. HQEAH 2465. QEAHY 2466. EAHYT 2467. AHYTQ 2468.
  • GQTLY 2560 QTLYH 2561. TLYHS 2562. LYHSR 2563. YHSRL 2564. HSRLK 2565. SRLKR 2566. RLKRE 2567. LKREV 2568. KREVF 2569. REVFE 2570. EVFEA 2571. VFEAS 2572. FEASL 2573. EASLS 2574. ASLSG 2575. SLSGT 2576. LSGTS 2577. SGTSR 2578. GTSRQ 2579. TSRQL 2580. SRQLL 2581. RQLLQ 2582. QLLQY 2583. LLQYG 2584. LQYGE 2585. QYGED 2586. YGEDL 2587.
  • SELKS 2620 ELKSL 2621. LKSLR 2622. KSLRK 2623. SLRKR 2624. LRKRW 2625. RKRWK 2626. KRWKR 2627. RWKRS 2628. WKRSA 2629. KRSAS 2630. RSASQ 2631. SASQA 2632. ASQAA 2633. SQAAI 2634. QAAIA 2635. AAIAP 2636. AIAPE 2637. IAPED 2638. APEDY 2639. PEDYE 2640. EDYEK 2641. DYEKV 2642. YEKVC 2643. EKVCR 2644. KVCRV 2645. VCRVL 2646. CRVLE 2647. RVLER 2648.
  • HQIRD 2680 QIRDN 2681. IRDNQ 2682. RDNQR 2683. DNQRV 2684. NQRVK 2685. QRVKA 2686. RVKAR 2687. VKARV 2688. KARVT 2689. ARVTA 2690. RVTAC 2691. VTACY 2692. TACYQ 2693. ACYQE 2694. CYQES 2695. YQESC 2696. QESCR 2697. ESCRN 2698. SCRNV 2699. CRNVL 2700. RNVLQ 2701. NVLQH 2702. VLQHL 2703. LQHLE 2704. QHLED 2705. HLEDW 2706. LEDWV 2707. EDWVR 2708. DWVRK 2709.
  • WVRKT 2710. VRKTR 2711. RKTRQ 2712. KTRQE 2713. TRQES 2714. RQESA 2715. QESAE 2716.
  • NLAES 2740 LAEST 2741. AESTE 2742. ESTEM 2743. STEML 2744. TEMLF 2745. EMLFS 2746. MLFSS 2747. LFSSL 2748. FSSLE 2749. SSLEE 2750. SLEED 2751. LEEDL 2752. EEDLN 2753. EDLNK 2754. DLNKI 2755. LNKIP 2756. NKIPL 2757. KIPLD 2758. IPLDV 2759. PLDVL 2760. LDVLR 2761. DVLRA 2762. VLRAI 2763. LRAIL 2764. RAILR 2765. AILRS 2766. ILRSL 2767. LRSLS 2768. RSLSS 2769. SLSSK 2770.
  • LSSKV 2771 SSKVL 2772. SKVLH 2773. KVLHI 2774. VLHIR 2775. LHIRD 2776. HIRDQ 2777. IRDQK 2778. RDQKL 2779. DQKLE 2780. QKLEL 2781. KLELE 2782. LELEK 2783. ELEKL 2784. LEKLE 2785. EKLEE 2786. KLEEQ 2787. LEEQF 2788. EEQFA 2789. EQFAK 2790. QFAKT 2791. FAKTN 2792. AKTNA 2793. KTNAI 2794. TNAIV 2795. NAIVK 2796. AIVKA 2797. IVKAK 2798. VKAKE 2799.
  • KAKEA 2800 AKEAE 2801. KEAEF 2802. EAEFE 2803. AEFEK 2804. EFEKN 2805. FEKNG 2806. EKNGE 2807. KNGEV 2808. NGEVW 2809. GEVWH 2810. EVWHN 2811. VWHNQ 2812. WHNQY 2813. HNQYQ 2814. NQYQM 2815. QYQML 2816. YQMLK 2817. QMLKS 2818. MLKSQ 2819. LKSQM 2820. KSQME 2821. SQMEK 2822. QMEKL 2823. MEKLE 2824. EKLES 2825. KLESQ 2826. LESQK 2827. ESQKR 2828.
  • KIQKG 2850 IQKGV 2851. QKGVK 2852. KGVKT 2853. GVKTL 2854. VKTLA 2855. KTLAE 2856. TLAEA 2857. LAEAV 2858. AEAVK 2859. EAVKV 2860. AVKVT 2861. VKVTL 2862. KVTLG 2863. VTLGP 2864. TLGPK 2865. LGPKG 2866. GPKGR 2867. PKGRH 2868. KGRHV 2869. GRHVV 2870. RHVVI 2871. HVVID 2872. VVIDK 2873. VIDKS 2874. IDKSF 2875. DKSFG 2876. KSFGS 2877. SFGSP 2878.
  • SKPVQ 2970 KPVQH 2971. PVQHH 2972. VQHHK 2973. QHHKE 2974. HHKEI 2975. HKEIA 2976. KEIAQ 2977. EIAQV 2978. IAQVA 2979. AQVAT 2980. QVATI 2981. VATIS 2982. ATISA 2983. TISAN 2984. ISANN 2985. SANND 2986. ANNDA 2987. NNDAE 2988. NDAEI 2989. DAEIG 2990. AEIGN 2991. EIGNL 2992. IGNLI 2993. GNLIA 2994. NLIAE 2995. LIAEA 2996. IAEAM 2997. AEAME 2998. EAMEK 2999.
  • AMEKV 3000 MEKVG 3001. EKVGK 3002. KVGKN 3003. VGKNG 3004. GKNGS 3005. KNGSI 3006. NGSIT 3007. GSITV 3008. SITVE 3009. ITVEE 3010. TVEEA 3011. VEEAK 3012. EEAKG 3013. EAKGF 3014. AKGFE 3015. KGFET 3016. GFETV 3017. FETVL 3018. ETVLD 3019. TVLDV 3020. VLDVV 3021. LDVVE 3022. DVVEG 3023. VVEGM 3024. VEGMN 3025. EGMNF 3026. GMNFN 3027. MNFNR 3028. NFNRG 3029. FNRGY 3030.
  • KKISG 3060 KISGI 3061. ISGIK 3062. SGIKD 3063. GIKDF 3064. IKDFL 3065. KDFLP 3066. DFLPV 3067. FLPVL 3068. LPVLQ 3069. PVLQQ 3070. VLQQV 3071. LQQVA 3072. QQVAE 3073. QVAES 3074. VAESG 3075. AESGR 3076. ESGRP 3077. SGRPL 3078. GRPLL 3079. RPLLI 3080. PLLII 3081. LLIIA 3082. LIIAE 3083. IIAED 3084. IAEDI 3085. AEDIE 3086. EDIEG 3087. DIEGE 3088.
  • LGKAK 3152 GKAKK 3153. KAKKV 3154. AKKVI 3155. KKVIV 3156. KVIVS 3157. VIVSK 3158. IVSKE 3159. VSKED 3160. SKEDT 3161. KEDTT 3162. EDTTI 3163. DTTIV 3164. TTIVE 3165. TIVEG 3166. IVEGM 3167. VEGMG 3168. EGMGE 3169. GMGEK 3170. MGEKE 3171. GEKEA 3172. EKEAL 3173. KEALE 3174. EALEA 3175. ALEAR 3176. LEARC 3177. EARCE 3178. ARCES 3179. RCESI 3180. CESIK 3181. ESIKK 3182.
  • EGILP 3244 GILPG 3245. ILPGG 3246. LPGGG 3247. PGGGT 3248. GGGTA 3249. GGTAL 3250. GTALI 3251. TALIR 3252. ALIRC 3253. LIRCI 3254. IRCIP 3255. RCIPT 3256. CIPTL 3257. IPTLE 3258. PTLEA 3259. TLEAF 3260. LEAFL 3261. EAFLP 3262. AFLPM 3263. FLPML 3264. LPMLT 3265. PMLTN 3266. MLTNE 3267. LTNED 3268. TNEDE 3269. NEDEQ 3270. EDEQI 3271. DEQIG 3272. EQIGA 3273. QIGAR 3274.
  • PGTER 3420 GTERA 3421. TERAL 3422. ERALS 3423. RALSG 3424. ALSGV 3425. LSGVR 3426. SGVRM 3427. GVRME 3428. VRMEL 3429. RMELD 3430. MELDD 3431. ELDDG 3432. LDDGA 3433. DDGAF 3434. DGAFP 3435. GAFPL 3436. AFPLL 3437. FPLLQ 3438. PLLQR 3439. LLQRV 3440. LQRVQ 3441. QRVQV 3442. RVQVT 3443. VQVTT 3444. QVTTS 3445. VTTSL 3446. TTSLH 3447. TSLHD 3448. SLHDA 3449.
  • LHDAF 3450 HDAFD 3451.
  • FDGID 3454. DGIDA 3455.
  • DAAFL 3458. AAFLI 3459.
  • LATGE 3664 ATGEY 3665. TGEYE 3666. GEYEV 3667. EYEVI 3668. YEVIP 3669. EVIPR 3670. VIPRL 3671. IPRLP 3672. PRLPW 3673. RLPWD 3674. LPWDA 3675. PWDAF 3676. WDAFI 3677. DAFIR 3678. AFIRG 3679. FIRGK 3680. IRGKM 3681. RGKMQ 3682. GKMQI 3683. KMQIS 3684. MQISL 3685. QISLD 3686. ISLDE 3687. SLDEI 3688. LDEIL 3689. DEILQ 3690. EILQE 3691. ILQEK 3692.
  • AYSFL 3715 YSFLF 3716. SFLFS 3717. FLFSL 3718. LFSLA 3719. FSLAH 3720. SLAHG 3721. LAHGD 3722. AHGDV 3723. HGDVF 3724. GDVFG 3725. DVFGL 3726. VFGLD 3727. FGLDC 3728. GLDCG 3729. LDCGI 3730. DCGID 3731. CGIDL 3732. GIDLR 3733. IDLRI 3734. DLRIY 3735. LRIYD 3736. RIYDI 3737. IYDIP 3738. YDIPG 3739. DIPGT 3740. IPGTE 3741. PGTER 3742. GTERA 3743. TERAL 3744.
  • ASVSL 5-mer peptides of CT858 (CPAF, total of 609 amino acids), ACCESSION# AAC68456.1, GI: 3329332 (SEQ ID NOS: 4019-4623) 4019.
  • MGFWR 4020 GFWRT 4021.
  • MNRIW 4030 NRIWL 4031. RIWLL 4032. IWLLL 4033. WLLLL 4034. LLLLT 4035. LLLTF 4036. LLTFS 4037. LTFSS 4038. TFSSA 4039.
  • FSSAI 4040 The following abbreviations: RIWL 4031.
  • QVKYA 4070 VKYAP 4071. KYAPK 4072. YAPKT 4073. APKTW 4074. PKTWK 4075. KTWKE 4076. TWKEQ 4077. WKEQY 4078. KEQYL 4079. EQYLG 4080. QYLGW 4081. YLGWD 4082. LGWDL 4083. GWDLV 4084. WDLVQ 4085. DLVQS 4086. LVQSS 4087. VQSSV 4088. QSSVS 4089. SSVSA 4090. SVSAQ 4091. VSAQQ 4092. SAQQK 4093. AQQKL 4094. QQKLR 4095. QKLRT 4096. KLRTQ 4097.
  • RTGIK 4555 TGIKT 4556. GIKTC 4557. IKTCS 4558. KTCSL 4559. TCSLT 4560. CSLTG 4561. SLTGS 4562. LTGSL 4563. TGSLA 4564. GSLAV 4565. SLAVR 4566. LAVRE 4567. AVREH 4568. VREHG 4569. REHGA 4570. EHGAF 4571. HGAFI 4572. GAFIE 4573. AFIEN 4574. FIENI 4575. IENIG 4576. ENIGV 4577. NIGVE 4578. IGVEP 4579. GVEPH 4580. VEPHI 4581. EPHID 4582. PHIDL 4583. HIDLP 4584. IDLPF 4585.
  • NDGTI 4616 The DGTII 4617. GTIIL 4618. TIILA 4619. IILAE 4620. ILAED 4621. LAEDG 4622. AEDGS 4623. EDGSF 5-mer peptides of Pgp3 (plasmid-encoded secretion protein, total of 264 amino acids), ACCESSION# ADI51551.1, GI: 297749006 (SEQ ID NOS: 4624-4883) 4624. MGNSG 4625. GNSGF 4626. NSGFY 4627. SGFYL 4628. GFYLY 4629. FYLYN 4630. YLYNT 4631. LYNTE 4632. YNTEN 4633. NTENC 4634. TENCV 4635.
  • ENCVF 4636 NCVFA 4637. CVFAD 4638. VFADN 4639. FADNI 4640. ADNIK 4641. DNIKV 4642. NIKVG 4643. IKVGQ 4644. KVGQM 4645. VGQMT 4646. GQMTE 4647. QMTEP 4648. MTEPL 4649. TEPLK 4650. EPLKD 4651. PLKDQ 4652. LKDQQ 4653. KDQQI 4654. DQQII 4655. QQIIL 4656. QIILG 4657. IILGT 4658. ILGTK 4659. LGTKS 4660. GTKST 4661. TKSTP 4662. KSTPV 4663. STPVA 4664.
  • TPVAA 4665 PVAAK 4666. VAAKM 4667. AAKMT 4668. AKMTA 4669. KMTAS 4670. MTASD 4671. TASDG 4672. ASDGI 4673. SDGIS 4674. DGISL 4675. GISLT 4676. ISLTV 4677. SLTVS 4678. LTVSN 4679. TVSNN 4680. VSNNS 4681. SNNSS 4682. NNSST 4683. NSSTN 4684. SSTNA 4685. STNAS 4686. TNASI 4687. NASIT 4688. ASITI 4689. SITIG 4690. ITIGL 4691. TIGLD 4692. IGLDA 4693. GLDAE 4694. LDAEK 4695.
  • QDILD 4726 DILDK 4727. ILDKI 4728. LDKIT 4729. DKITT 4730. KITTD 4731. ITTDP 4732. TTDPS 4733. TDPSL 4734. DPSLG 4735. PSLGL 4736. SLGLL 4737. LGLLK 4738. GLLKA 4739. LLKAF 4740. LKAFN 4741. KAFNN 4742. AFNNF 4743. FNNFP 4744. NNFPI 4745. NFPIT 4746. FPITN 4747. PITNK 4748. ITNKI 4749. TNKIQ 4750. NKIQC 4751. KIQCN 4752. IQCNG 4753. QCNGL 4754. CNGLF 4755. NGLFT 4756.
  • LISDG 5175 ISDGQ 5176. SDGQV 5177. DGQVT 5178. GQVTR 5179. QVTRG 5180. VTRGF 5181. TRGFL 5182. RGFLG 5183. GFLGV 5184. FLGVT 5185. LGVTL 5186. GVTLQ 5187. VTLQP 5188. TLQPI 5189. LQPID 5190. QPIDS 5191. PIDSE 5192. IDSEL 5193. DSELA 5194. SELAT 5195. ELATC 5196. LATCY 5197. ATCYK 5198. TCYKL 5199. CYKLE 5200. YKLEK 5201. KLEKV 5202. LEKVY 5203. EKVYG 5204.
  • LSSAS 5391. SSASS 5392. SASSL 5393. ASSLQ 5394. SSLQA 5395.
  • SLQAL 5396. LQALP 5397. QALPV 5398.
  • FGDNE 5536 GDNEN 5537. DNENQ 5538. NENQK 5539. ENQKT 5540. NQKTV 5541. QKTVK 5542. KTVKA 5543. TVKAE 5544. VKAES 5545. KAESV 5546. AESVP 5547. ESVPN 5548. SVPNM 5549. VPNMS 5550. PNMSF 5551. NMSFD 5552. MSFDQ 5553. SFDQS 5554. FDQSV 5555. DQSVV 5556. QSVVE 5557. SVVEL 5558. VVELY 5559. VELYT 5560. ELYTD 5561. LYTDT 5562. YTDTT 5563. TDTTF 5564. DTTFA 5565.
  • RLNMF 5657 LNMFT 5658. NMFTP 5659. MFTPY 5660. FTPYI 5661. TPYIG 5662. PYIGV 5663. YIGVK 5664. IGVKW 5665. GVKWS 5666. VKWSR 5667. KWSRA 5668. WSRAS 5669. SRASF 5670. RASFD 5671. ASFDA 5672. SFDAD 5673. FDADT 5674. DADTI 5675. ADTIR 5676. DTIRI 5677. TIRIA 5678. IRIAQ 5679. RIAQP 5680. IAQPK 5681. AQPKS 5682. QPKSA 5683. PKSAT 5684. KSATA 5685. SATAI 5686.
  • AQFRF 5-mer peptides of CT119 (IncA, 273 amino acids), ACCESSION# NP219622.1, GI: 15604838 (SEQ ID NOS: 5766-6034) 5766. MTTPT 5767. TTPTL 5768. TPTLI 5769. PTLIV 5770. TLIVT 5771. LIVTP 5772. IVTPP 5773. VTPPS 5774. TPPSP 5775. PPSPP 5776. PSPPA 5777. SPPAP 5778. PPAPS 5779. PAPSY 5780. APSYS 5781. PSYSA 5782. SYSAN 5783. YSANR 5784. SANRV 5785.
  • HNQQS 5970 NQQSL 5971. QQSLT 5972. QSLTV 5973. SLTVV 5974. LTVVI 5975. TVVIE 5976. VVIEE 5977. VIEEL 5978. IEELK 5979. EELKT 5980. ELKTI 5981. LKTIR 5982. KTIRD 5983. TIRDS 5984. IRDSL 5985. RDSLR 5986. DSLRD 5987. SLRDE 5988. LRDEI 5989. RDEIG 5990. DEIGQ 5991. EIGQL 5992. IGQLS 5993. GQLSQ 5994. QLSQL 5995.
  • INTFT 6050 NTFTK 6051. TFTKD 6052. FTKDI 6053. TKDIE 6054. KDIEM 6055. DIEMA 6056. IEMAK 6057. EMAKQ 6058. MAKQI 6059. AKQIQ 6060. KQIQG 6061. QIQGS 6062. IQGSR 6063. QGSRK 6064. GSRKD 6065. SRKDP 6066. RKDPL 6067. KDPLA 6068. DPLAK 6069. PLAKT 6070. LAKTS 6071. AKTSW 6072. KTSWI 6073. TSWIA 6074. SWIAG 6075. WIAGL 6076. IAGLI 6077. AGLIC 6078. GLICV 6079.
  • LICVV 6080 ICVVA 6081. CVVAG 6082. VVAGV 6083. VAGVL 6084. AGVLG 6085. GVLGL 6086. VLGLL 6087. LGLLA 6088. GLLAI 6089. LLAIG 6090. LAIGI 6091. AIGIG 6092. IGIGG 6093. GIGGC 6094. IGGCS 6095. GGCSM 6096. GCSMA 6097. CSMAS 6098. SMASG 6099. MASGL 6100. ASGLG 6101. SGLGL 6102. GLGLI 6103. LGLIG 6104. GLIGA 6105. LIGAI 6106. IGAIV 6107. GAIVA 6108. AIVAA 6109. IVAAV 6110.
  • EFLSK 6170 FLSKG 6171. LSKGW 6172. SKGWS 6173. KGWSD 6174. GWSDD 6175. WSDDT 6176. SDDTA 6177. DDTAV 6178. DTAVH 6179. TAVHK 6180. AVHKE 6181. VHKED 6182. HKEDV 6183. KEDVT 6184. EDVTK 6185. DVTKY 6186. VTKYE 6187. TKYEQ 6188. KYEQV 6189. YEQVV 6190. EQVVE 6191. QVVEE 6192. VVEEY 6193. VEEYA 6194. EEYAE 6195. EYAEK 6196. YAEKI 6197.
  • RDEGK 6350 DEGKL 6351. EGKLT 6352. GKLTL 6353. KLTLV 6354. LTLVV 6355. TLVVL 6356. LVVLL 6357. VVLLD 6358. VLLDT 6359. LLDTS 6360. LDTSG 6361. DTSGY 6362. TSGYS 6363. SGYSF 6364. GYSFE 6365. YSFET 6366. SFETL 6367. FETLA 6368. ETLAD 6369. TLADA 6370. LADAA 6371. ADAAH 6372. DAAHA 6373. AAHAM 6374. AHAME 6375.
  • DQRYR 6516 QRYRN 6517. RYRNL 6518. YRNLI 6519.
  • RNLIQ 6520 NLIQR 6521.
  • LIQRL 6522 IQRLE 6523. QRLEQ 6524.
  • LEQLD 6526 EQLDV 6527.
  • QLDVD 6528 LDVDR 6529. DVDRQ 6530.
  • VDRQT 6531 DRQTG 6532.
  • QTGRS 6534 TGRST 6535.
  • GRSTE 6536 RSTES 6537. STESQ 6538. TESQH 6539. ESQHI 6540.
  • QHIQE 6542 HIQEK 6543.
  • IQEKP 6544 YRNLI 6519.
  • RNLIQ 6520 NLIQR 6521.
  • LIQRL 6522 IQRLE 6523.
  • RLEQL 6525 L
  • EDIRS 6630 DIRSL 6631. IRSLL 6632. RSLLS 6633. SLLSL 6634. LLSLS 6635. LSLSN 6636. SLSND 6637. LSNDV 6638. SNDVM 6639. NDVMR 6640. DVMRV 6641. VMRVL 6642. MRVLQ 6643. RVLQK 6644. VLQKA 6645. LQKAS 6646. QKASV 6647. KASVS 6648. ASVSS 6649. SVSST 6650. VSSTR 6651. SSTRQ 6652. STRQL 6653. TRQLE 6654. RQLEL 6655.
  • HLSAK 6736 LSAKI 6737. SAKIV 6738. AKIVE 6739. KIVES 6740. IVESE 6741. VESEL 6742. ESELK 6743. SELKA 6744. ELKAS 6745. LKASQ 6746. KASQK 6747. ASQKV 6748. SQKVD 6749. QKVDL 6750. KVDLC 6751. VDLCQ 6752. DLCQR 6753. LCQRI 6754. CQRIA 6755. QRIAA 6756. RIAAM 6757. IAAMY 6758. AAMYQ 6759. AMYQE 6760.
  • LCAHL 6864 CAHLV 6865. AHLVV 6866. HLVVV 6867. LVVVN 6868. VVVNC 6869. VVNCQ 6870. VNCQN 6871. NCQNK 6872. CQNKE 6873. QNKET 6874. NKETG 6875. KETGL 6876. ETGLL 6877. TGLLE 6878. GLLEG 6879. LLEGL 6880. LEGLE 6881. EGLEE 6882. GLEES 6883. LEESF 6884. EESFS 6885. ESFSE 6886. SFSET 6887. FSETL 6888. SETLS 6889.
  • GFVTL 6916 FVTLA 6917. VTLAN 6918. TLANG 6919. LANGD 6920. ANGDR 6921. NGDRY 6922. GDRYE 6923. DRYEL 6924. RYELF 6925. YELFS 6926. ELFSY 6927. LFSYN 6928. FSYND 6929. SYNDS 6930. YNDSG 6931. NDSGE 6932. DSGEA 6933. SGEAV 6934. GEAVC 6935. EAVCD 6936. AVCDE 6937. VCDEI 6938. CDEIA 6939. DEIAL 6940. EIALG 6941.
  • EQKAK 7144 QKAKI 7145. KAKIK 7146. AKIKA 7147. KIKAE 7148. IKAEL 7149. KAELT 7150. AELTQ 7151. ELTQY 7152. LTQYT 7153. TQYTD 7154. QYTDM 7155. YTDML 7156. TDMLN 7157. DMLNA 7158. MLNAI 7159. LNAIS 7160. NAISN 7161. AISNS 7162. ISNSL 7163. SNSLT 7164. NSLTS 7165. SLTSL 7166. LTSLK 7167. TSLKT 7168. SLKTQ 7169. LKTQL 7170. KTQLA 7171.
  • TQLAP 7172 QLAPL 7173. LAPLS 7174. APLSV 7175. PLSVS 7176. LSVST 7177. SVSTV 7178. VSTVE 7179. STVEG 7180. TVEGV 7181. VEGVD 7182. EGVDG 7183. GVDGV 7184. VDGVF 7185. DGVFE 7186. GVFEV 7187. VFEVK 7188. FEVKN 7189. EVKNG 7190. VKNGI 7191. KNGIP 7192. NGIPG 7193. GIPGE 7194. IPGEN 7195. PGENG 7196. GENGK 7197. ENGKN 7198. NGKNW 7199. GKNWR 7200.
  • QQEWM 7260 QEWMV 7261. EWMVV 7262. WMVVA 7263. MVVAT 7264. VVATS 7265. VATSL 7266. ATSLQ 7267. TSLQL 7268. SLQLL 7269. LQLLN 7270. QLLNQ 7271. LLNQI 7272. LNQIY 7273. NQIYL 7274. QIYLG 7275. IYLGL 7276. YLGLA 7277. LGLAR 7278. GLARN 7279. LARNL 7280. ARNLL 7281.
  • QALQS 7520 ALQSI 7521. LQSIV 7522. QSIVD 7523. SIVDA 7524. IVDAG 7525. VDAGD 7526. DAGDQ 7527. AGDQS 7528. GDQSQ 7529. DQSQA 7530. QSQAA 7531. SQAAV 7532. QAAVL 7533. AAVLQ 7534. AVLQA 7535. VLQAQ 7536. LQAQQ 7537. QAQQN 7538. AQQNN 7539. QQNNS 7540. QNNSP 7541. NNSPD 7542. NSPDN 7543. SPDNI 7544. PDNIA 7545. DNIAA 7546. NIAAT 7547. IAATK 7548.
  • DVDNE 7636 VDNEM 7637. DNEMA 7638. NEMAA 7639. EMAAI 7640. MAAIA 7641. AAIAM 7642. AIAMQ 7643. IAMQG 7644. AMQGF 7645. MQGFR 7646. QGFRS 7647. GFRSM 7648. FRSMI 7649. RSMIE 7650. SMIEQ 7651. MIEQF 7652. IEQFN 7653. EQFNV 7654. QFNVN 7655. FNVNN 7656. NVNNP 7657. VNNPA 7658. NNPAT 7659. NPATA 7660. PATAK 7661. ATAKE 7662.
  • CT443 (OmcB or CRP60, 553 amino acids), ACCESSION#: NP 219955.1, GI: 15605169 (SEQ ID NO: 7925) 1 mrigdpmnkl irravtifav tsvaslfasg vletsmaesl stnvisladt kakdntshks 61 kkarknhske tpvdrkevap vheskatgpk qdscfgrmyt vkvnddrnve itqavpeyat 121 vgspypieit atgkrdcvdv iitqqlpcea efvrsdpatt ptadgklvwk idrlgqgeks 181 kitvwvkplk egccftaatv cacpeirsvt kcgqpaicvk qegpenaclr cp

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Abstract

The present invention provides Chlamydia proteins and fragments thereof and methods of use in diagnostic assays.

Description

    STATEMENT OF PRIORITY
  • This application claims the benefit, under 35 U.S.C. §119(e), of U.S. Provisional Application Ser. No. 61/566,089, filed Dec. 2, 2011, the entire contents of which are incorporated by reference herein.
  • STATEMENT OF GOVERNMENT SUPPORT
  • The present invention was funded in part by government support under grant numbers R01AI064537 and R01AI047997 from the National Institutes of Health. The United States Government has certain rights in this invention.
  • STATEMENT REGARDING ELECTRONIC FILING OF A SEQUENCE LISTING
  • A Sequence Listing in ASCII text format, submitted under 37 C.F.R. §1.821, entitled 9237-50_ST25.txt, 1,098,928 bytes in size, generated on Nov. 29, 2012 and filed via EFS-Web, is provided in lieu of a paper copy. This Sequence Listing is hereby incorporated herein by reference into the specification for its disclosures.
  • BACKGROUND OF THE INVENTION
  • 1. Field of the Invention
  • The present invention relates to the field of diagnosis/determination of chlamydial infection and disease as well as diagnosis/determination of tubal factor infertility.
  • 2. Background Art
  • Twenty-five to 35% of patients presenting for infertility evaluation have tubal disease (1-4). Chlamydia trachomatis is the primary sexually transmitted infection responsible for tubal factor infertility (TFI) (5-7) with C. trachomatis antibodies in approximately 70% of human patients (8). C. trachomatis infected cells produce inflammatory cytokines (9-10) which may contribute to upper genital tract inflammatory damage (11-13). Lunefeld et al. found that among patients undergoing in vitro fertilization, those with C. trachomatis antibodies had decreased pregnancy rates (14).
  • C. trachomatis infection is often asymptomatic so patient history cannot dictate the presence of tubal disease (15-16). Elevated titers of anti-C. trachomatis antibodies are associated with TFI, but detection of overall antibody levels lacks the sensitivity and specificity required for differential diagnosis (17).
  • The present invention provides chlamydial antigens that can be used to develop rapid and convenient means for diagnosing/determining tubal factor infertility, as well as chlamydial antigens that can be used to develop rapid and convenient means for diagnosing/determining acute chlamydial invention.
  • SUMMARY OF THE INVENTION
  • In one aspect, the present invention provides a method of diagnosing tubal factor infertility in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof, and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex (e.g., detecting no antigen/antibody complex) with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby diagnosing tubal factor infertility in the subject.
  • Also provided herein is a method of identifying a subject as having an increased likelihood of having or developing tubal factor infertility, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex (e.g., detecting no antigen/antibody complex) with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having or developing tubal factor infertility.
  • In further aspects, the present invention provides a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • Additionally provided herein is a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
  • The present invention also provides a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection.
  • Additionally provided herein is a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection.
  • Additionally provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject for whom antibiotic therapy to treat Chlamydia trachomatis infection is likely to be or would be beneficial. The method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • Also provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial. The method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • In further aspects, the present invention provides a kit comprising a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof.
  • Additionally provided is a kit comprising a diagnostic panel comprising an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof. In particular embodiments, a kit of this invention can further comprise an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIGS. 1A-F. Reactivity of 30 C. trachomatis Antigens with 54 Patient Sera at 1:4000 Dilution.
  • The 30 antigens were reacted with the 54 human sera as described in Table 2 except that each serum was diluted 1:4000 (data not shown). (A) Ten of the 30 antigens, failing to react with any of the 23 IFC sera, were thus presented in the figure. Note that HSP60 (CT110) and OmcB (CT443) maintained a detection sensitivity of 35.5% and 58%, respectively. (B) The reactivity of each of the 10 antigens was analyzed at individual antiserum level. Note that the combinations of CT443 with CT381 or HSP60 with CT376, CT381 and CT798 can have the highest sensitivity of 67.7% while maintaining 100% specificity. (C) The reactivity intensity between each antigen and the 21 positive sera (measured at individual antiserum level) was expressed as mean OD plus standard deviation, (D) Each of the 10 antigens was reacted with an antiserum sample pooled from the 21 sera at equal ratio without (D) or with absorption with C. trachomatis (CT)-infected HeLa lysate (E) or HeLa alone lysate (F). Note that absorption with CT-HeLa but not HeLa alone lysates removed the reactivity of each antigen with the pooled antiserum.
  • FIGS. 2A-B. Distribution Patterns of Reactivity of 5 Antigens with 24 TFI Samples.
  • The reactivity of each of 5 antigens (listed along the X-axis at the top of bottom) with 24 TFI and 25 FC human sera (each at a final dilution of 1:1000) was summarized in panel A and the reactivity with the 24 TFI samples (listed along Y-axis) was displayed in panel B. Each horizontal bar indicates a positive reactivity as determined based on the mean plus 2 standard deviations. Star indicates antisera uniquely reacted with a given antigen. Please note that CT110, CT376 & CT557 together positively detected a total of 14 unique TFI antisera (58%).
  • FIGS. 3A-C. Reactivity Patterns of CT443 and its 12 Fragments with TFI & FC Serum Samples.
  • CT443 full length (FL) and its 12 fragments (F1 to F12) as shown along the X-axis at the bottom were reacted with 24 TFI and 25 FC antisera (listed along the Y-axis on the left) at different dilutions (as shown along the Y-axis on the right), including 1:1,000 (A), 1:3,000 (B) and 1:10,000 (C). A positive reactivity was indicated with a horizontal bar. Number of or percentage of antisera reacted with a given antigen were spelled out in text in corresponding panels. Please note that most antibody reactivity was localized at the C-terminal fragments, including fragment 10 (F9), F11 and F12 and the fragments displayed better discrimination of TFI from FC samples than the full length CT443 at different serum dilutions.
  • FIGS. 4A-F. Reactivity Patterns of Antigens Preferentially Recognized by TFI Women with Serum Samples from 3 Different Groups of Women.
  • The reactivity of CT110, CT376, CT557, CT443 and CT443F11 as listed along the X-axis at the bottom with 24 TFI (A-B), 25 FC(C-D) and 24 STI (E-F) antisera as shown along the Y-axis at the left side. A positive reactivity was indicated with a horizontal bar. The human sera were used at either 1:1000 (A, C, E) or 1:10,000 (B, D, F) dilution. Antisera from the TFI group uniquely detected by a given antigen are marked with stars. Antigens preferentially recognized by TFI women were also highly reactive with STI women samples.
  • FIGS. 5A-B. Reactivity Patterns of 13 Antigens with STI Women Samples.
  • When the 21 antigens listed in Table 5 were reacted with human sera at 1:10,000 dilution, 13 antigens (listed at top and bottom of the figure) completely lost reactivity with either TFI or FC women samples but each maintained a certain level of reactivity with STI samples as summarized in panel A. The patterns of reactivity of the 13 antigens with 24 STI samples are shown in panel B. Each horizontal bar indicates a positive reactivity and antisera uniquely reacted with CT875 and CT147 are marked with a star. CT875 and CT147 detected 15 out of the 24 STI sera with a sensitivity of 63% while maintaining 100% specificity.
  • FIG. 6. Comparison of Chlamydia Antibody Test with Hysterosalpingogram (HSG) for Identifying Tubal Factor Infertility (TFI).
  • DETAILED DESCRIPTION OF THE INVENTION
  • The present invention is based on the unexpected identification of immunodominant proteins of Chlamydia trachomatis and combinations thereof that allow for the diagnosis of tubal factor infertility as well as for the identification of subjects having an increased likelihood of having or developing tubal factor infertility. The present invention is also based on the unexpected identification of immunodominant proteins of Chlamydia trachomatis and combinations thereof that allow for the diagnosis of acute infection by Chlamydia trachomatis. These immunodominant proteins have been identified by the screening fusion protein arrays described herein in the EXAMPLES section. These immunodominant proteins, immunologically reactive fragments thereof and/or homologues of these proteins or immunologically reactive fragments thereof from other chlamydial species can be employed in methods of detection and diagnosis by identifying the presence of an antibody to the protein(s) and/or immunologically reactive fragment(s) thereof in a sample, such as a biological sample from a subject.
  • Thus, in one embodiment, the present invention provides a method of diagnosing tubal factor infertility in a subject, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof, and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby diagnosing tubal factor infertility in the subject.
  • When a subject's infertility is diagnosed to be due to tubal factor as a result of chlamydial infection, a treatment option for the woman's infertility can be in vitro fertilization (IVF). Furthermore, applying both anti-chlamydial and anti-inflammatory treatment procedures to the subjects prior to IVF can increase the chance of success for IVF. Thus, in some embodiments, the method above can further comprise the step of advising and/or having the subject that has been diagnosed with tubal factor infertility to initiate IVF procedures to become pregnant. Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Furthermore, the present invention provides a method of identifying a subject as having an increased likelihood of having or developing tubal factor infertility, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having or developing tubal factor infertility.
  • When a subject is identified as having an increased likelihood of having or developing tubal factor infertility as a result of chlamydial infection, the subject can undergo an infertility evaluation and both anti-chlamydial and anti-inflammatory treatment procedures can be applied to subject if the subject desires to have children. Thus, in some embodiments, the method above can further comprise the step of advising and/or having the subject that has been identified as having an increased likelihood of having or developing tubal factor infertility as a result of chlamydial infection to undergo an infertility evaluation. Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Establishing that the cause of a woman's infertility is tubal factor infertility according to the methods described herein allows the woman and her physician to avoid approaches that are likely to be unsuccessful, such as hormone replacement and artificial insemination in order to overcome or bypass the woman's infertility and to select more effective methods of establishing a successful pregnancy in the woman, such as in vitro fertilization. The knowledge that the cause of a woman's infertility is tubal factor infertility also informs the woman and her physician that the use of invasive and costly procedures such as hysterosalpingogram (HSG) or laparoscopy may be unnecessary.
  • Thus, in one embodiment, the present invention also provides a method of identifying a subject as a good or suitable candidate for in vitro fertilization or surgical repair of tubal damage, comprising, consisting essentially of or consisting of: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and not detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby identifying the subject as a good or suitable candidate for in vitro fertilization or surgical repair of tubal damage. Thus, in some embodiments, the method above can further comprise the step of advising and/or having the subject that has been identified as a good or suitable candidate for in vitro fertilization (IVF) or surgical repair of tubal damage to undergo such IVF or surgery. Such methods can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • In some embodiments, the subject of this invention can be a human female and in some embodiments, the subject of this invention can be an infertile human female. In some embodiments, the tubal factor infertility can be caused by chlamydial infection and in some embodiments, the tubal factor infertility can be caused by infection by Chlamydia trachomatis.
  • In certain embodiments of the methods described above regarding tubal factor infertility, the diagnostic panel can further comprise, consist essentially of or consist of an additional antigen selected from the group consisting of a) Chlamydia trachomatis HSP60 or an immunologically reactive fragment thereof, b) Chlamydia trachomatis CT376 or an immunologically reactive fragment thereof, c) Chlamydia trachomatis CT557 or an immunologically reactive fragment thereof, and d) any combination thereof, and the method can further comprise, consist essentially of or consist of detecting an antigen/antibody complex in the sample for each of said additional antigen(s).
  • In further embodiments, the present invention provides a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject. The method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Also provided herein is a method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject. The method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • The present invention also provides a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection. The method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Additionally provided herein is a method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having an acute Chlamydia trachomatis infection. The method above can further comprise the step of applying anti-chlamydial and/or anti-inflammatory treatment procedures to the subject.
  • Additionally provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject for whom antibiotic therapy to treat Chlamydia trachomatis infection is likely to be or would be beneficial. The method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • Also provided herein is a method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial, comprising: (a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be or would be beneficial. The method above can further comprise the step of applying antibiotic therapy for Chlamydia trachomatis infection and/or anti-inflammatory treatment procedures to the subject.
  • In some embodiments the method of diagnosing acute chlamydial infection or identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection or identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection can further comprise, consist essentially of or consist of contacting the sample with an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof and detecting an antigen/antibody complex in the sample with the antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
  • A biological sample of this invention can be any biological fluid and/or tissue in which antibodies can be detected. Nonlimiting examples of a sample of this invention can include vaginal fluid, vaginal tissue, vaginal washing, vaginal swab, vaginal discharge, cervical swab, cervical tissue urethral swab, urethral discharge, rectal swab, rectal material, rectal washing, urine, blood, serum, plasma, saliva, tears, skin swab, semen, seminal fluid, sputum, bronchial fluid, bronchial washing, peritoneal fluid, peritoneal washing, pleural fluid, pleural washing, cerebrospinal fluid, eye fluid and/or tissue, fluid and/or tissue from lung, liver, heart, brain, kidney, spleen or muscle and any combination thereof.
  • In some embodiments, the biological sample of this invention to be used in the methods of this invention can be diluted 1:10, 1:100, 1:200, 1:300, 1:400, 1:500, 1:600, 1:700, 1:800, 1:900, 1:1000, 1:1500, 1:2000, 1:3000, 1:4000, 1:5000, 1:6000, 1:7000, 1:8000, 1:9000, 1:10,000, 1:20,000, 1:30,000, 1:40,000, 1:50,000, 1:100,000, etc. Such a dilution can be carried out according to protocols well known in the art and as described in the EXAMPLES section herein. Such dilution can be used to increase the specificity of the method, as described herein.
  • In the methods of this invention, the biological sample can be preabsorbed, e.g., to reduce or minimize cross-reactivity and/or background. As nonlimiting examples, in some embodiments, the biological sample can be preabsorbed with a lysate of bacteria expressing glutathione-S-transferase (GST) and/or a lysate of normal (e.g., non-chlamydial infected mammalian cells. In some embodiments absorption of the sample can be with a lysate of Chlamydia-infected mammalian cells, to remove and/or block chlamydial antigen-specific antibodies from human samples, which can help confirm the specificity of human antibody binding to the test antigen.
  • A subject of this invention that has an “increased likelihood” or “increased risk” of having or tubal factor infertility can be a subject having symptoms and/or signs of infertility and/or meets criteria known in the art for being infertile or such a subject can be a subject who is not having symptoms and/or signs of infertility and/or does not meet criteria know in the art for being infertile. By “increased likelihood” or “increased risk” of having tubal factor infertility it is meant that the increase is relative to a control (e.g., a subject whose biological sample is not positive for antibodies to CT443 and CT381 and negative for antibodies to CT875).
  • Furthermore, a subject of this invention that has an “increased likelihood” or “increased risk” of having an acute Chlamydia trachomatis infection can be a subject having symptoms and/or signs of Chlamydia trachomatis infection or such a subject can be a subject who is not having symptoms and/or signs of Chlamydia trachomatis infection. By “increased likelihood” or “increased risk” of acute Chlamydia trachomatis infection it is meant that the increase is relative to a control (e.g., a subject whose biological sample is not positive for antibodies to CT443 and CT381 and CT875 or a subject whose biological sample is not positive for antibodies to CT875).
  • In additional embodiments of this invention, the chlamydial proteins listed herein can also be employed in the methods and compositions of this invention, either singly or in any combination with one another and/or in combination with any other chlamydial protein and/or reagent of this invention.
  • As used herein, “a,” “an” or “the” can mean one or more than one. For example, “a” cell can mean a single cell or a multiplicity of cells.
  • Also as used herein, “and/or” refers to and encompasses any and all possible combinations of one or more of the associated listed items, as well as the lack of combinations when interpreted in the alternative (“or”).
  • Furthermore, the term “about,” as used herein when referring to a measurable value such as an amount of a compound or agent of this invention, dose, time, temperature, and the like, is meant to encompass variations of ±20%, ±10%, ±5%, ±1%, ±0.5%, or even ±0.1% of the specified amount.
  • The term “isolated” as used herein means the protein or polypeptide or immunologically reactive fragment or nucleic acid of this invention is sufficiently free of contaminants or cell components with which polypeptides and/or nucleic acids normally occur. “Isolated” does not mean that the preparation is technically pure (homogeneous), but it is sufficiently pure to provide the polypeptide or nucleic acid in a form in which it can be used in methods of this invention.
  • The term “epitope” as used herein refers to at least about 3 to about 5, or about 5 to about 10 or about 5 to about 15, and not more than about 1,000 amino acids (or any integer therebetween) (e.g., 5-12 amino acids or 3-10 amino acids or 4-8 amino acids or 6-15 amino acids, etc.), which define a sequence that by itself or as part of a larger sequence, binds to an antibody generated in response to such sequence or stimulates a cellular immune response. There is no critical upper limit to the length of the fragment, which can comprise nearly the full-length of the protein sequence, or even a fusion protein comprising two or more epitopes from a single or multiple chlamydial proteins. An epitope for use in the subject invention is not limited to a polypeptide having the exact sequence of the portion of the parent protein from which it is derived. Indeed, there are many known strains or isolates of Chlamydia and there are several variable domains that exhibit relatively high degrees of variability between isolates. Thus, the term “epitope” encompasses sequences identical to the native sequence, as well as modifications to the native sequence, such as deletions, additions and substitutions (generally, but not always, conservative in nature). In some embodiments, an “immunologically reactive fragment” of this invention can comprise one, two, three, four or more epitopes of a protein of this invention.
  • Regions of a given polypeptide or fragment thereof that include an epitope can be identified using any number of epitope mapping techniques, well known in the art. (See, e.g., Epitope Mapping Protocols in Methods in Molecular Biology, Vol. 66, Glenn E. Morris, Ed., 1996, Humana Press, Totowa, N.J.). For example, linear epitopes can be determined by e.g., concurrently synthesizing large numbers of peptides on solid supports, the peptides corresponding to portions of the protein molecule, and reacting the peptides with antibodies while the peptides are still attached to the supports. Such techniques are known in the art and described in, e.g., U.S. Pat. No. 4,708,871; Geysen et al. (1984) Proc. Natl. Acad. Sci. USA 81:3998-4002; Geysen et al. (1986) Molec. Immunol. 23:709-715, all incorporated herein by reference in their entireties.
  • Similarly, conformational epitopes are readily identified by determining spatial conformation of amino acids such as by, e.g., x-ray crystallography and 2-dimensional nuclear magnetic resonance. Antigenic regions of proteins can also be identified using standard antigenicity and hydropathy plots, such as those calculated using, e.g., the Omiga version 1.0 software program available from the Oxford Molecular Group. This computer program employs the Hopp/Woods method (Hopp et al., Proc. Natl. Acad. Sci USA (1981) 78:3824-3828) for determining antigenicity profiles and the Kyte-Doolittle technique (Kyte et al., J. Mol. Biol. (1982) 157:105-132) for hydropathy plots.
  • As used herein, the term “polypeptide” or “protein” is used to describe a chain of amino acids that correspond to those encoded by a nucleic acid. A polypeptide or protein of this invention can be a peptide, which usually describes a chain of amino acids of from two to about 30 to about 50 amino acids. The term polypeptide as used herein also describes a chain of amino acids having more than about 30 amino acids or more than about 50 amino acids and can be a fragment or domain of a protein or a full length protein. Furthermore, as used herein, the term polypeptide can refer to a linear chain of amino acids or it can refer to a chain of amino acids that has been processed and folded into a functional protein. It is understood, however, that 30 or 50 is an arbitrary number with regard to distinguishing peptides and polypeptides and the terms can be used interchangeably for a chain of amino acids. The polypeptides of the present invention are obtained by isolation and purification of the polypeptides from cells where they are produced naturally, by enzymatic (e.g., proteolytic) cleavage, and/or recombinantly by expression of nucleic acid encoding the polypeptides or fragments of this invention. The polypeptides and/or fragments of this invention can also be obtained by chemical synthesis or other known protocols for producing polypeptides and fragments.
  • The amino acid sequences of this invention are presented in the amino to carboxy direction, from left to right. The “carboxy terminus” or “C terminus” of a protein or amino acid sequence as used herein refers to a portion or fragment or domain of a protein or amino acid sequence that makes up about ⅔, about ½, about ⅓ or about ¼ of the total amino acid sequence at the carboxy end of the sequence (i.e., the right end or right-sided end or the “end” of the sequence). The “amino terminus” or “N terminus” of a protein or amino acid sequence as used herein refers to a portion or fragment or domain of a protein or amino acid sequence that makes up about ⅔, about ½, about ⅓ or about ¼ of the total amino acid sequence at the amino end of the sequence (i.e., the left end or left sided end or the “beginning” of the sequence).
  • Nucleotide sequences are presented herein by single strand only, in the 5′ to 3′ direction, from left to right. However, it is intended that the nucleic acids of this invention can be either single or double stranded (i.e., including the complementary nucleic acid). A nucleic acid of this invention can be the complement of a nucleic acid described herein.
  • A “biologically active fragment” includes a polypeptide or peptide of this invention that comprises a sufficient number of amino acids to have one or more of the biological activities of the polypeptides of this invention. Such biological activities can include, but are not limited to, in any combination, binding activity and/or immunogenic activity, as well as any other activity now known or later identified for the polypeptides and/or fragments of this invention.
  • An “immunologically reactive fragment,” “immunogenic fragment” or “antigenic fragment” of a protein refers to a portion of the protein or peptide that is immunologically reactive with a binding partner, e.g., an antibody, which is immunologically reactive with the protein or peptide itself.
  • In some embodiments, the terms “immunologically reactive fragment,” “immunogenic fragment” or “antigenic fragment” are used to describe a fragment or portion of a protein or peptide that can stimulate a humoral and/or cellular immune response in a subject. An immunologically reactive fragment, immunogenic fragment or antigenic fragment of this invention can comprise, consist essentially of and/or consist of one, two, three, four or more epitopes of a protein of this invention. An immunologically reactive fragment, immunogenic fragment or antigenic fragment can be any fragment of contiguous amino acids of a Chlamydia trachomatis protein of this invention, including but not limited to CT443, CT381, CT875, CT147, HSP60, CT376, CT557, CT858 (CPAF), Pgp3, CT823 (cHtrA), CT681 (MOMP), CT119 (IncA), CT813, CT795, CT621 and CT622, the amino acid sequences of each of which are provided herein and are available at www.ncbi.nlm.nih.gov/protein/15605169) and can be for example, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 75, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950 or 1000 amino acids in length, dependent upon the total number of amino acids of the full length protein. Identification of any such immunologically reactive, immunogenic or antigenic fragment(s) is routine in the art.
  • Nonlimiting examples of an immunologically reactive fragment of Chlamydia trachomatis CT443 protein (GenBank Database® Accession No. NP219955.1) include amino acids 41-269 (F1), amino acids 166-269 (F2), amino acids 211-269 (F3), amino acids 101-210 (F4), amino acids 166-210 (F5), amino acids 41-165 (F6), amino acids 101-165 (F7), amino acids 41-100 (F8), amino acids 211-410 (F9), amino acids 270-410 (F10), amino acids 270-553 (F11) and amino acids 411-553 (F12), with amino acid numbering starting with amino acid 1 and ending with amino acid 553 of the 553 amino acid CT443 protein, the amino acid sequence of which is provided herein. As described herein, in some embodiments, fragments identified above as F1 through F8 could be described as N terminal or amino terminal fragments. As also described herein, in some embodiments, fragments identified above as F9 through F12 could be described as C terminal or carboxy terminal fragments. In some embodiments of this invention, the CT443 protein or immunologically reactive fragment employed in methods of this invention can be a C terminal fragment.
  • Nonlimiting examples of an immunologically reactive fragment of Chlamydia trachomatis CPAF protein (GenBank Database® Accession No. AAC68456.1) include amino acids 1-200, amino acids 136-609, amino acids 242-609, amino acids 284-609 and amino acids 387-609 with numbering starting from amino acid 1 at the amino terminus through amino acid 609 at the carboxy terminus of the 609 amino acid CPAF protein, the amino acid sequence of which is provided herein and is available under GenBank Database® Accession No. AAC68456.1.
  • Also provided herein is an isolated peptide comprising, consisting essentially of or consisting of about five amino acids to about 15, 20, 25, 30, 35, 40, 45, 50, 50, 70, 80, 90 or 100 amino acids (including any value between 5 and 100 not explicitly recited herein), wherein the peptide comprises one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20) of the 5 mer peptides listed in Table 6, as well as a composition comprising any of these isolated peptides, singly or in any combination in a carrier (e.g., a pharmaceutically acceptable carrier). Such peptides can be employed as immunologically reactive fragments in the methods of this invention.
  • It is further provided herein that in the methods of this invention, an immunologically reactive fragment of this invention and a biological sample diluted as described herein can be employed in any combination in the methods described herein to increase the specificity of the method. As one nonlimiting example, a biological sample diluted 1:3000 was reacted with the F11 fragment of chlamydial protein CT443 resulting in an increase in specificity of the assay and further diluting the sample 1:10,000 increased specificity even more (see Example 2). Optimization of the sample dilution and immunologically reactive fragment reactivity can be carried out as described herein and according to methods well known in the art.
  • A fragment of a polypeptide or protein of this invention can be produced by methods well known and routine in the art. Fragments of this invention can be produced, for example, by enzymatic or other cleavage of naturally occurring peptides or polypeptides or by synthetic protocols that are well known. Such fragments can be tested for one or more of the biological activities of this invention according to the methods described herein, which are routine methods for testing activities of polypeptides, and/or according to any art-known and routine methods for identifying such activities. Such production and testing to identify biologically active fragments and/or immunologically reactive fragments of the polypeptides described herein would be well within the scope of one of ordinary skill in the art and would be routine.
  • As used herein, the term “antibody” includes intact immunoglobin molecules as well as fragments thereof, such as Fab, F(ab′)2, and Fc, which are capable of binding the epitopic determinant of an antigen (i.e., antigenic determinant). Antibodies that bind the polypeptides of this invention are prepared using intact polypeptides or fragments containing small peptides of interest as the immunizing antigen. The polypeptide or fragment used to immunize an animal can be derived from enzymatic cleavage, recombinant expression, isolation from biological materials, synthesis, etc., and can be conjugated to a carrier protein, if desired. Commonly used carriers that are chemically coupled to peptides and proteins for the production of antibody include, but are not limited to, bovine serum albumin, thyroglobulin and keyhole limpet hemocyanin. The coupled peptide or protein is then used to immunize the animal (e.g., a mouse, rat, or rabbit). The polypeptide or peptide antigens can also be administered with an adjuvant, as described herein and as otherwise known in the art. The term “antibody” as used herein, includes, but is not limited to a polypeptide encoded by an immunoglobulin gene or immunoglobulin genes, or a fragment thereof. “Antibody” also includes, but is not limited to, a polypeptide encoded by an immunoglobulin gene or immunoglobulin genes, or a fragment thereof, which specifically binds to and recognizes the biomarkers of this invention.
  • The term “epitope” means an antigenic determinant that is specifically bound by an antibody. Epitopes usually consist of surface groupings of molecules such as amino acids and/or sugar side chains and usually have specific three-dimensional structural characteristics, as well as specific charge characteristics.
  • The terms “specifically binds to” and “specifically reactive with” refer to a binding reaction that is determinative of the presence of the antigen and antibody or aptamer and target in the presence of a heterogeneous population of proteins, nucleic acids and/or other biologics. Thus, under designated assay conditions, the specified antibodies and antigens and/or aptamers and targets bind to one another and do not bind in a significant amount to other components present in a sample.
  • In some embodiments employing antibodies, a variety of immunoassay formats can be used to select antibodies specifically reactive with a particular antigen. For example, solid-phase ELISA immunoassays are routinely used to select monoclonal antibodies specifically immunoreactive with an analyte. See Harlow and Lane (ANTIBODIES: A LABORATORY MANUAL, Cold Springs Harbor Publications, New York, (1988)) for a description of immunoassay formats and conditions that can be used to determine specific immunoreactivity. Typically a specific or selective reaction will be at least twice background signal to noise and more typically more than 10 to 100 times greater than background.
  • Various immunoassays can be used to detect antibodies of this invention. Such immunoassays typically involve the measurement of antigen/antibody complex formation between a protein or peptide and its specific antibody.
  • The immunoassays of the invention can be either competitive or noncompetitive and both types of assays are well-known and well-developed in the art. In competitive binding assays, antigen or antibody competes with a detectably labeled antigen or antibody for specific binding to a capture site bound to a solid surface. The concentration of labeled antigen or antibody bound to the capture agent is inversely proportional to the amount of free antigen or antibody present in the sample.
  • Noncompetitive assays of this invention can be sandwich assays, in which, for example, the antigen is bound between two antibodies. One of the antibodies is used as a capture agent and is bound to a solid surface. The other antibody is labeled and is used to measure or detect the resultant antigen/antibody complex by e.g., visual or instrument means. A number of combinations of antibody and labeled antibody can be used, as are well known in the art. In some embodiments, the antigen/antibody complex can be detected by other proteins capable of specifically binding human immunoglobulin constant regions, such as protein A, protein L or protein G. These proteins are normal constituents of the cell walls of streptococcal bacteria. They exhibit a strong nonimmunogenic reactivity with immunoglobulin constant regions from a variety of species. (See, e.g., Kronval et al., J. Immunol., 111:1401-1406 (1973); Akerstrom et al., J. Immunol., 135:2589-2542 (1985).)
  • In some embodiments, the non-competitive assays need not be sandwich assays. For instance, the antibodies or antigens in the sample can be bound directly to the solid surface. The presence of antibodies or antigens in the sample can then be detected using labeled antigen or antibody, respectively.
  • In some embodiments, antibodies and/or proteins can be conjugated or otherwise linked or connected (e.g., covalently or noncovalently) to a solid support (e.g., bead, plate, slide, dish, membrane or well) in accordance with known techniques. Antibodies can also be conjugated or otherwise linked or connected to detectable groups such as radiolabels (e.g., 35S, 125I, 32P, 13H, 14C, 131I), enzyme labels (e.g., horseradish peroxidase, alkaline phosphatase), gold beads, chemiluminescence labels, ligands (e.g., biotin) and/or fluorescence labels (e.g., fluorescein) in accordance with known techniques.
  • A variety of organic and inorganic polymers, both natural and synthetic can be used as the material for the solid surface. Nonlimiting examples of polymers include polyethylene, polypropylene, poly(4-methylbutene), polystyrene, polymethacrylate, poly(ethylene terephthalate), rayon, nylon, poly(vinyl butyrate), polyvinylidene difluoride (PVDF), silicones, polyformaldehyde, cellulose, cellulose acetate, nitrocellulose, and the like. Other materials that can be used include, but are not limited to, include paper, glass, ceramic, metal, metalloids, semiconductive materials, cements and the like. In addition, substances that form gels, such as proteins (e.g., gelatins), lipopolysaccharides, silicates, agarose and polyacrylamides can be used. Polymers that form several aqueous phases, such as dextrans, polyalkylene glycols or surfactants, such as phospholipids, long chain (12-24 carbon atoms) alkyl ammonium salts and the like are also suitable. Where the solid surface is porous, various pore sizes can be employed depending upon the nature of the system.
  • A variety of immunoassay systems can be used, including but not limited to, radio-immunoassays (RIA), enzyme-linked immunosorbent assays (ELISA) assays, enzyme immunoassays (EIA), “sandwich” assays, gel diffusion precipitation reactions, immunodiffusion assays, agglutination assays, immunofluorescence assays, fluorescence activated cell sorting (FACS) assays, immunohistochemical assays, protein A immunoassays, protein G immunoassays, protein L immunoassays, biotin/avidin assays, biotin/streptavidin assays, immunoelectrophoresis assays, precipitation/flocculation reactions, immunoblots (Western blot; dot/slot blot); immunodiffusion assays; liposome immunoassay, chemiluminescence assays, library screens, expression arrays, etc., immunoprecipitation, competitive binding assays and immunohistochemical staining. These and other assays are described, among other places, in Hampton et al. (Serological Methods, a Laboratory Manual, APS Press, St Paul, Minn. (1990)) and Maddox et al. (J. Exp. Med. 158:1211-1216 (1993); the entire contents of which are incorporated herein by reference for teachings directed to immunoassays).
  • The methods of this invention can also be carried out using a variety of solid phase systems, such as described in U.S. Pat. No. 5,879,881, as well as in a dry strip lateral flow system (e.g., a “dipstick” system), such as described, for example, in U.S. Patent Publication No. 20030073147, the entire contents of each of which are incorporated by reference herein.
  • The term “antibody” or “antibodies” as used herein refers to all types of immunoglobulins, including IgG, IgM, IgA, IgD, and IgE. The antibody can be monoclonal or polyclonal and can be of any species of origin, including, for example, mouse, rat, rabbit, horse, goat, sheep or human, or can be a chimeric or humanized antibody. See, e.g., Walker et al., Molec. Immunol. 26:403-11 (1989). The antibodies can be recombinant monoclonal antibodies produced according to the methods disclosed in U.S. Pat. No. 4,474,893 or U.S. Pat. No. 4,816,567. The antibodies can also be chemically constructed according to the method disclosed in U.S. Pat. No. 4,676,980. The antibody can further be a single chain antibody or bispecific antibody.
  • Antibody fragments included within the scope of the present invention include, for example, Fab, F(ab′)2, and Fc fragments, and the corresponding fragments obtained from antibodies other than IgG. Such fragments can be produced by known techniques. For example, F(ab′)2 fragments can be produced by pepsin digestion of the antibody molecule, and Fab fragments can be generated by reducing the disulfide bridges of the F(ab′)2 fragments. Alternatively, Fab expression libraries can be constructed to allow rapid and easy identification of monoclonal Fab fragments with the desired specificity (Huse et al., (1989) Science 254:1275-1281).
  • Monoclonal antibodies can be produced in a hybridoma cell line according to the technique of Kohler and Milstein, (1975) Nature 265:495-97. For example, a solution containing the appropriate antigen can be injected into a mouse and, after a sufficient time, the mouse sacrificed and spleen cells obtained. The spleen cells are then immortalized by fusing them with myeloma cells or with lymphoma cells, typically in the presence of polyethylene glycol, to produce hybridoma cells. The hybridoma cells are then grown in a suitable medium and the supernatant screened for monoclonal antibodies having the desired specificity. Monoclonal Fab fragments can be produced in bacterial cell such as E. coli by recombinant techniques known to those skilled in the art. See, e.g., W. Huse, (1989) Science 246:1275-81.
  • Antibodies can also be obtained by phage display techniques known in the art or by immunizing a heterologous host with a cell containing an epitope of interest.
  • The term “sample” as used herein is used in its broadest sense. A biological sample suspected of containing a polypeptide, fragment, antibody and/or nucleic acid of this invention can be any biological fluid, an extract from a cell, an extracellular matrix isolated from a cell, a cell (in solution or bound to a solid support), a tissue, a tissue print, and the like.
  • A “pharmaceutically acceptable” component such as a salt, carrier, excipient or diluent of a composition according to the present invention is a component that (i) is compatible with the other ingredients of the composition in that it can be combined with the compositions of the present invention without rendering the composition unsuitable for its intended purpose, and (ii) is suitable for use with subjects as provided herein without undue adverse side effects (such as toxicity, irritation, and allergic response). Side effects are “undue” when their risk outweighs the benefit provided by the composition. Non-limiting examples of pharmaceutically acceptable components include, without limitation, any of the standard pharmaceutical carriers such as phosphate buffered saline solutions, water, emulsions such as oil/water emulsion, microemulsions and various types of wetting agents.
  • A variety of protocols for detecting the presence of and/or measuring the amount of an antibody or antibodies in a sample are known in the art. Such protocols are well known in the art and non-limiting examples include enzyme immunoassays (ETA), agglutination assays, immunoblots (Western blot; dot/slot blot, etc.), radioimmunoassays (RIA), immunodiffusion assays, chemiluminescence assays, antibody library screens, expression arrays, enzyme-linked immunosorbent assays (ELISA), radioimmunoassays (RIA), immunoprecipitation, Western blotting, competitive binding assays, immunofluorescence, immunohistochemical staining precipitation/flocculation assays and fluorescence-activated cell sorting (FACS). These and other assays are described, among other places, in Hampton et al. (Serological Methods, a Laboratory Manual, APS Press, St Paul, Minn. (1990)) and Maddox et al. (J. Exp. Med. 158:1211-1216 (1993)).
  • The present invention further provides isolated polypeptides, peptides, proteins and/or fragments that are substantially equivalent to those described for this invention. As used herein, “substantially equivalent” can refer both to nucleic acid and amino acid sequences, for example a mutant sequence, that varies from a reference sequence by one or more substitutions (e.g., substitution with conservative amino acids as are well known in the art), deletions and/or additions, the net effect of which does not result in an undesirable adverse functional dissimilarity between reference and subject sequences. In some embodiments, this invention can include substantially equivalent sequences that have an adverse functional dissimilarity. For purposes of the present invention, sequences having equivalent biological activity and equivalent expression characteristics are considered substantially equivalent.
  • The invention further provides homologues, as well as methods of obtaining homologues, of the polypeptides and/or fragments of this invention from other strains of Chlamydia and/or other organisms included in this invention. As used herein, an amino acid sequence or protein is defined as a homologue of a polypeptide or fragment of the present invention if it shares significant homology to one of the polypeptides and/or fragments of the present invention. Significant homology means at least 75%, 80%, 85%, 90%, 95%, 98% and/or 100% homology with another amino acid sequence. Specifically, by using the nucleic acids that encode the chlamydial proteins of this invention (as are known in the art and incorporated by reference herein), as a probe or primer, and techniques such as PCR amplification and colony/plaque hybridization, one skilled in the art can identify homologues of the polypeptides and/or fragments of this invention in Chlamydia and/or other organisms on the basis of information available in the art. A homologue of a Chlamydia trachomatis protein of this invention can include a protein of Chlamydia muridarum, Chlamydia pneumoniae, Chlamydia psittaci or Chlamydia caviae identified to be a homologue according to methods well known in the art and as described herein. It would be well understood by one of ordinary skill in the art that such homologues (either complete proteins and/or immunologically reactive fragments thereof) can be employed in the methods of this invention. The identification and testing of such homologues for suitability as antigens in the methods of this invention is well within the skill of one in the art. Such homologues among the proteins of Chlamydia trachomatis, Chlamydia muridarum, Chlamydia pneumoniae, Chlamydia psittaci and Chlamydia caviae are well known in the art. As one non-limiting example, a listing of Chlamydia pneumoniae proteins and the Chlamydia trachomatis homologues of these proteins can be found in U.S. Pat. No. 6,822,071, the entire contents of which are incorporated by reference herein for these teachings.
  • In some embodiments, the present invention provides the antigens of this invention immobilized on a solid support (e.g., beads, plates, slides or wells formed from materials such as, e.g., latex or polystyrene). Nonlimiting examples of such solid supports include polycarbonate, agarose, nitrocellulose, sepharose, acrylic resins, polyacrylamide and latex beads, as well as any other solid support known in the art. Techniques for coupling antibodies and antigens to such solid supports are well known in the art (Weir et al., Handbook of Experimental Immunology 4th Ed., Blackwell Scientific Publications, Oxford, England, Chapter 10 (1986)). Antibodies and/or antigens of this invention can likewise be conjugated to detectable groups such as radiolabels (e.g., 35S, 125I, 131I), enzyme labels (e.g., horseradish peroxidase, alkaline phosphatase), and fluorescence labels (e.g., fluorescein) in accordance with known techniques. Conditions suitable for the formation of an antigen/antibody complex are routine in the art and form the basis for all immunoassays. Such conditions may vary depending on the particular reagents, samples and/or steps employed in a given immunoassay, as would be readily determined by one of ordinary skill in the art. Determination of the formation of an antibody/antigen complex in the methods of this invention can be by detection of, for example, precipitation, agglutination, flocculation, radioactivity, color development or change, fluorescence, luminescence, etc., as is well know in the art.
  • It is further contemplated that the present invention provides kits for detection, in a biological sample, of antibodies specifically reactive to antigens of this invention. In one embodiment, the kit can comprise one or more antigens of this invention, along with suitable buffers, wash solutions and/or other reagents for the detection of antibody/antigen complex formation.
  • In one embodiment, a kit of this invention can comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of 1) an antibody that specifically reacts with Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, 2) an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof and 3) Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof. In some embodiments, the kit described in this paragraph can further comprise, consist essentially of or consist of antigens (e.g., as additional components of a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of Chlamydia trachomatis HSP60 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT376 protein or an immunologically reactive fragment thereof, Chlamydia trachomatis CT557 protein or an immunologically reactive fragment thereof, and any combination thereof. Thus, a kit of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof. Such a kit can further include, in its diagnostic panel, an antigen of Chlamydia trachomatis HSP60 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT376 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT557 protein or an immunologically reactive fragment thereof, and any combination thereof.
  • In a further embodiment, a kit of this invention can comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of 1) an antibody that specifically reacts with Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, 2) an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, 3) Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof and 4) an antigen of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof. Thus, a kit of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT443 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof, an antigen of Chlamydia trachomatis CT381 protein or an immunologically reactive fragment thereof and an antigen of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • In another embodiment, a kit of this invention comprise, consist essentially of and/or consist of antigens (e.g., a diagnostic panel) and reagents for detecting, in a biological sample, the presence or absence of an antibody that specifically reacts with Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof. Such a kit can further comprise, consist essentially of or consist of antigens (e.g., as additional components of a diagnostic panel) and reagents for detecting in a biological sample, the presence or absence of an antibody that specifically reacts with Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof. Thus a kit of this invention can include a diagnostic panel that comprises, consists essentially of or consists of an antigen of Chlamydia trachomatis CT875 protein or an immunologically reactive fragment thereof. In some embodiments, such a kit can further comprise, consist essentially of or consist of Chlamydia trachomatis CT147 protein or an immunologically reactive fragment thereof.
  • It would be well understood by one of ordinary skill in the art that the kits of this invention can comprise one or more containers and/or receptacles to hold the reagents (e.g., antibodies, antigens, nucleic acids) of the kit, along with appropriate buffers and/or wash solutions and directions for using the kit, as would be well known in the art.
  • The following examples are included to demonstrate various embodiments of the invention. It should be appreciated by those of skill in the art that the techniques disclosed in the examples that follow represent techniques discovered by the inventors to function well in the practice of the invention. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments that are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.
  • EXAMPLES Example 1 Genome-Wide Identification of Chlamydia trachomatis Antigens Associated with Tubal Factor Infertility
  • Objective.
  • To identify C. trachomatis antigens that can be used to differentially diagnose tubal factor infertility in comparison to previously reported Heat Shock Protein 60 (HSP60).
  • Design.
  • In Vitro Study
  • Patients.
  • Infertile women with and without tubal pathology diagnosed laparoscopically.
  • Setting.
  • Academic medical center.
  • Main Outcome Measures.
  • Antibody responses to C. trachomatis in infertile women with or without tubal pathologies using a C. trachomatis genome-wide proteome array.
  • Results.
  • Comparison of the antibody profiles revealed 30 C. trachomatis antigens that were preferentially recognized by tubal factor infertility women with a detection sensitivity and specificity of 80.6% and 56.5%, respectively, 10 of which showed 100% specificity. A combination of CT443 and CT381 antigens yielded the highest detection sensitivity (67.7%) while maintaining 100% specificity.
  • Conclusion.
  • These findings have demonstrated that antibodies to CT443 and CT381, when used in combination, have higher sensitivity and specificity in predicting tubal factor infertility than other indicators for tubal factor infertility such as HSP60 antibodies (35.5%, 100%) or hysterosalpingogram (65%, 83%). Using a panel of C. trachomatis antigens to serologically diagnose tubal factor infertility can save the patients from undertaking expensive and invasive procedures for determining tubal pathology and choosing treatment plans.
  • Introduction.
  • Twenty-five to 35% of patients presenting for infertility evaluation have tubal disease (1-4). Chlamydia trachomatis is the primary sexually transmitted infection responsible for tubal factor infertility (TFI) (5-7) with C. trachomatis antibodies in approximately 70% of patients (8). C. trachomatis infected cells produce inflammatory cytokines (9-10) which may contribute to upper genital tract inflammatory damage (11-13). Lunefeld et al. found that among patients undergoing in vitro fertilization, those with C. trachomatis antibodies had decreased pregnancy rates (14).
  • C. trachomatis infection is often asymptomatic so patient history cannot dictate the presence of tubal disease (15-16). Elevated titers of anti-C. trachomatis antibodies are associated with TFI, but detection of overall antibody levels lacks the sensitivity and specificity required for differential diagnosis (17).
  • Measuring anti-C. trachomatis antibodies at the single antigen level may offer increased sensitivity and specificity for predicting TFI. Elevated anti-chlamydial heat shock protein 60 (HSP60, CT110) antibodies are associated with TFI (18-27). Anti-HSP60 antibodies are associated with decreased pregnancy rates in patients with an ectopic pregnancy history (17). When HSP60 antibodies are in follicular fluid, there are decreased implantation rates (28-29). Some have postulated that chlamydial HSP60 incites a strong inflammatory response that may cross-react with the highly conserved human HSP60 (25, 30-31). HSP60 may induce T-cell responses that contribute to the tubal damage (32-33).
  • In the present study a C. trachomatis whole-genome scale protein array has been developed that can profile antigen specificities of anti-Chlamydia trachomatis antibodies (34).
  • Human Patients.
  • Thirty one TFI and 23 IFC patients were enrolled at the University of Texas Health Science Center at San Antonio following Institutional Review Board approval. All women were at least 21 years old and underwent diagnostic laparoscopy with chromotubation as part of their infertility evaluation. Diagnosis of tubal infertility was defined as fallopian pathology consistent with hydrosalpinx, fimbrial phimosis, or peri-tubal adhesions. Exclusion criteria included prior tubal ligation, surgical finding of endometriosis, or a history of pelvic infection or inflammation other than pelvic inflammatory disease such as appendicitis. IFC patients had normal pelvic findings and tubal patency at laparoscopy. After the blood draw, serum samples were stored at −20° C. until analyzed.
  • Cell Culture and Chlamydial Infection.
  • As previously described, HeLa cells (American Type Culture Collection, Manassas Va. 20108) were cultured in DMEM (GIBCO PRL, Rockville, Md.) with 10% fetal calf serum (FCS; GIBCO BRL) at 37° C. with 5% carbon dioxide (CO2) (34-36). C. trachomatis serovar D or Chlamydia pneumoniae AR39 organisms were grown, purified and titrated as previously described (36-38). For immunofluorescence assay, chlamydial organisms were used to infect HeLa cells grown on glass coverslips in 24-well plates. The sub-confluent HeLa cells were treated with DMEM containing 304 ml of DEAE-Dextran (Sigma, St. Louis, Mo.) for 10 minutes at 37° C. After removal of DEAE-Dextran solution, chlamydial organisms were added to the wells for 2 hours at 37° C. The infected cells were continuously cultured in DMEM with 10% FCS and 2 μg/ml of cycloheximide (Sigma, St. Louis, Mo.).
  • Immunofluorescence Assay (IFA).
  • Anti-chlamydial organism antibodies in human sera were titrated using an Immunofluorescence assay (IFA) as previously described (34, 36, 39, 40). Briefly, HeLa cells grown on coverslips were infected with C. trachomatis or C. pneumoniae organisms, fixed 48 h post-infection for C. trachomatis and 72 h for C. pneumoniae with 2% paraformaldehyde, and permeabilized with 2% saponin at room temperature for 1 hour. After blocking, human sera were added to the Chlamydia-infected cell samples. The primary Ab binding was visualized with a goat anti-human IgG conjugated with Cy3 (red; Jackson ImmunoResearch Laboratories, West Grove, Pa.), and DNA was labeled with Hoechst dye (blue; Sigma-Aldrich). The highest dilution of a serum that still gave a positive reactivity was defined as the titer of the given serum sample. Serum samples were serially diluted and the appropriate dilutions were repeated multiple times based on the results obtained from prior dilutions in order to obtain a more accurate titer for each serum. Images were acquired with an Olympus AX70 fluorescence microscope equipped with multiple filter sets (Olympus, Melville, N.Y.) as previously described (36, 40).
  • Chlamydial Fusion Protein-Arrayed Microplate Enzyme-Linked Immunosorbent Assay (ELISA).
  • Glutathione S-transferase (GST) fusion protein enzyme-linked immunosorbent assay (ELISA) for detecting human antibody recognition of chlamydial proteins was carried out as previously described (36). Bacterial lysates containing individual chlamydial GST fusion proteins were added to 96 well microplates pre-coated with glutathione (Pierce, Rockford, Ill.) at a 1:10 dilution in PBS with a total volume of 200 μl/well. Lysates containing GST alone, as negative, and GST-chlamydial protease-like activity factor (CPAF), as positive controls, were also included on each plate. The plates were incubated overnight at 4° C. to allow GST fusion proteins to bind to the plate-immobilized glutathione then blocked with 2.5% milk in PBS and washing with PBST (PBS with 0.05% Tween 20; Sigma Aldrich).
  • The human sera were pre-absorbed with bacterial lysates containing GST at 4° C. overnight, then incubated with glutathione beads (bioWorld, Dublin, Ohio) for 1 hour at room temperature to reduce background caused by non-specific human antibodies. The human antibody reactivity was detected with a goat anti-human-IgG, IgA and IgM conjugated with horse-radish peroxidase (HRP; Jackson ImmunoResearch Laboratories) plus the substrate 2,2′-azino-bi(2-ethylbenzothiazoline-6-sulforic acid)diammonium salt (ABTS; Sigma). The optical density (OD) was measured at 405 nm using a microplate reader (Molecular Devices Corporation, Sunnyvale, Calif.). To confirm the antibody binding specificity, all sera were further absorbed with lysates made from either HeLa cells alone or C. trachomatis serovar D-infected HeLa cells prior to reacting with the fusion protein-coated plates. The absorption was carried out as follows: HeLa cells with or without chlamydial infection were lysed via sonication at 2×107 cells per ml of PBS containing a cocktail of protease inhibitors. The pre-diluted serum samples were incubated with cell lysates overnight at 4° C. prior to reacting with the plate-immobilized chlamydial fusion proteins. The antibody binding that remained positive after HeLa-alone lysate absorption but significantly reduced by Chlamydia-HeLa lysate absorption was considered true positive.
  • Data Analyses.
  • Data were analyzed using SPSS v. 15.0 software (IBM, Chicago, Ill.) as previously described (36, 39). Briefly, titer values were log-transformed to produce a normal distribution and analyses were performed on transformed values. Student's t-Test was utilized to assess anti-C. trachomatis and anti-C. pneumoniae antibodies to evaluate overall mean differences between the 2 groups of patients. Because the a priori hypothesis was that the TFI group would have higher titers than the IFC group, a one-tailed analysis was used for the C. trachomatis data, but a two-tailed analysis was performed on the C. pneumonia data because there was no a priori hypothesis. Because the antibody titers had large variations within a given group, the serum titers were evaluated by ranges of <1:10 (Negative), 1:10 to 1:10,000 (Low), and >1:10,000 (High). Chi-Squared and Fisher's Exact Test were employed to compare overall antibodies to C. trachomatis and antibodies to C. pneumoniae.
  • ELISA results were analyzed using Student's t-Test and Fisher's Exact Test as appropriate. For the genome-wide ELISA, both Student's t-Test (for comparing quantitative OD value data) and Fisher's Exact Test (for comparing the number of sera positively reacted with a given antigen) were preformed. Using both methods allows for the identification of C. trachomatis antigens that are both clinically and statistically significant. When Student's t-Test was utilized, the OD values after subtracting background from the same plate were used. When Fisher's Exact Test was utilized, a response was determined positive when the OD value was equal to or greater than 2 standard deviations above the mean calculated from the same 96 well plate as described previously (39, 41).
  • Infertile Women with Laparoscopy-Identified Tubal Pathologies Developed Significantly Higher Titers of Anti-C. trachomatis Antibodies.
  • Sera from TFI or IFC were titrated using HeLa cells infected with either C. trachomatis or C. pneumoniae organisms as antigens in an IFA. TFI Patients developed high titers of antibodies to C. trachomatis (p<0.001) but not C, pneumoniae (p=0.269) (Table 1). When the patients were categorized based on levels of anti-chlamydial antibodies, most TFI patients developed high titers of anti-C. trachomatis antibodies (61.3%) while most IFC patients displayed lower titers (82.6%; p<0.001).
  • Table 1 shows titers of human antibodies against C. trachomatis and C. pneumoniae. Serum samples from women with TFI and IFC were 2 fold serially diluted starting with 1:10 and reacted with HeLa cells infected with either C. trachomatis or C. pneumoniae. The antibody reactivity was detected using an immunofluorescence assay as described herein. The highest dilution that still gave a positive reactivity was defined as the serum titer. Each serum sample was titrated in triplicate and the average was used as the geometric titer of a given serum sample. Student's t-Test was used to quantitatively analyze the differences between the two groups of patients. There is a statistically significant difference in titers of antibodies against C. trachomatis (p<0.001) but not C. pneumoniae (p=0.269) organisms. When the serum samples were divided into 3 categories (negative, low and high) based on antibody titers, the qualitative analysis with Chi-squared test still revealed a significant difference in the number of sera in different categories between the two groups of patients for antibodies against C. trachomatis (p<0.001) but not C. pneumoniae (p=0.634) organisms. Further pairwise Chi-squared analyses of the anti-C. trachomatis antibodies revealed significant differences between the high vs. low and high vs. negative groups. The number of individuals with high titers of anti-C. trachomatis antibodies in the TFI group is significantly higher than that in the IFC group.
  • Table 2 shows reactivity of 30 C. trachomatis antigens with 54 patient sera at 1:800 dilution. The 30 C. trachomatis antigens significantly recognized by 24 TFI patients were reacted with 54 patient sera (33 TFI and 21 IFC). All sera were diluted at 1:800 regardless of their overall anti-C, trachomatis antibody titers as determined with the immunofluorescence assay. The mean ODs of each antigen were compared between TFI and IFC groups using Student t-Test and the corresponding p values confirmed that all 30 antigens were significantly recognized by TFI patients. The number of positive recognition by either TFI or IFC was used to calculate recognition specificity and sensitivity as well as positive or negative predicting values (PPV or NPV; right panel). HSP60 (CT110) displayed a detection specificity of 82.6% and sensitivity of 71% and many other immunodominant antigens such as pCTO3 (Pgp3, a plasmid-encoded secreted protein), CT858 (CPAF, a chlamydial protease/proteasome-like activity factor that is secreted into host cell cytosol), CT823 (cHtrA, a secreted stress response serine protease), CT813 (an inclusion membrane protein), CT443 (OmcB, outer membrane complex protein B) and CT143 (a hypothetical protein) behaved similarly. Only the hypothetical protein CT557 had 100% specificity but its sensitivity was only 29%. Thus, under this assay condition, no single antigen or combinations of antigens can achieve 100% specificity with a sensitivity of >50%.
  • Identification of C. trachomatis Antigens Preferentially Recognized by Infertile Women with or without Tubal Pathology.
  • It is difficult to use the quantitative difference in overall anti-C. trachomatis antibodies to diagnose TFI. To identify antigens that are recognized by TFI patients, anti-C. trachomatis antibodies in 24 TFI and 11 IFC patients were mapped at the genome-wide scale since these patients displayed an overall anti-C. trachomatis antibody titer above 1:1000. These 35 sera recognized C. trachomatis antigens distributed across the genome with 265 antigens recognized by at least one antiserum and 643 antigens not detected by any sera. Many C. trachomatis antigens are recognized by both groups of patients, but there are antigens preferentially recognized by either group. Thirty antigens were significantly recognized by TFI based on either mean OD values (Student's t-test) or recognition frequency (Fisher's exact test). Reactivity was confirmed using absorption against either HeLa alone or C. trachomatis-infected HeLa lysates as described previously (36).
  • Identification of C. trachomatis Antigens Uniquely Recognized by TFI Patients.
  • To identify antigens that can be used to predict TFI in infertility clinics, antigens were identified that were uniquely recognized by TFI patients. The 30 antigens preferentially recognized by TFI patients (Table 2) were reacted with sera from all 54 patients (including 31 TFI and 23 IFC) regardless of their overall anti-C. trachomatis antibody titers, The HSP60 (CT110) reacted with 22 of the 31 TFI and 4 of the 23 IFC sera with a specificity and sensitivity of 82.6% and 71.0%, respectively, in predicting TFI.
  • To further increase specificity, a 5-fold dilution (final dilution of 1:4000) was used to reduce the false-positive rate. At this dilution, 10 of the 30 antigens, including CT110, CT322, CT376, CT381, CT414, CT443, CT681, CT795, CT798 and CT813, failed to react with any sera from the IFC group. Thus, these 10 antigens were uniquely recognized by TFI patients with a detection specificity of 100%. Dilution of the samples decreased detection sensitivity. HSP60 (CT110) only reacted with 11 out of 31 TFI sera, dropping the detection sensitivity to 35.5% along with three immunodominant antigens (CT795, CT798, CT813). CT443 reacted with 18 of the 31 TFI sera, maintaining a sensitivity of 58.1%. When the reactivity of the 10 antigens was analyzed at each individual antiserum level, it was found that the 10 antigens all together reacted with 21 independent sera of 31 total TFI sera, with a sensitivity of 67.7%. More importantly, this sensitivity can be maintained using fewer antigens. Combining HSP60 with CT376, CT381 and CT798 (total 4 antigens) or CT443 with CT381 (only 2 antigens) maintains sensitivity of 67.7%. As for other immunodominant antigens with a detection specificity of <100%, their detection sensitivity can be 80% even after serum dilution. Due to their ability to generate false positive results by reacting with IFC samples, it is clinically undesirable to use these antigens for screening for TFI.
  • C. trachomatis organisms cause pathologies in the fallopian tubes, leading to complications such as ectopic pregnancy and infertility. Since infertility can be caused by many different factors, distinguishing tubal infertility from other causes is useful for guiding treatment plans. The goal of the current study is to identify C. trachomatis antigens that can improve specificity and sensitivity in detecting TFI.
  • The finding that anti-C. trachomatis but not anti-C. pneumoniae antibodies are highly associated with TFI is consistent with the literature (42-44). Efforts have been made to develop individual C. trachomatis antigen-based detection methods. Previous reports demonstrate that anti-HSP60 antibodies are detected in 70-80% of TFI patients (21-22, 45-46). The present genome-wide search for additional markers of TFI not only confirmed these findings but also revealed new information for further increasing specificity and sensitivity in detecting TFI.
  • Thirty antigens were preferentially recognized by TFI patients. At 1:800 dilution, HSP60 reacted with 22 of the 31 TFI sera (71% sensitivity) and 4 of the 23 IFC sera (82.6% specificity), which is consistent with previous findings and suggests that the ELISA described herein is comparable to other assays. When the sera were diluted to 1:4000 in order to further increase specificity, 10 of the 30 antigens achieved 100% specificity. Although the sensitivity decreased, careful examination revealed that a combination of 2 antigens [CT381 and CT443 (Outer membrane complex B, OmcB)], or 4 antigens [CT110 (HSP60), CT376, CT381 & CT798] detected TFI with a specificity and sensitivity of 100% and 67.7%, respectively. These combinations of antigens improved the C. trachomatis serology approach for diagnosing tubal infertility over using HSP60 alone (35.5% sensitivity), which represents a clinically significant improvement.
  • Hysterosalpingogram (HSG) has a detection specificity and sensitivity of 83% and 65% respectively for detecting tubal pathology (47). C. trachomatis antigen-based serology diagnosis has numerous advantages over HSG besides improved detection, including sparing patients from the discomfort, radiation, and potential for infectious sequellae. This conclusion is consistent with previous reports that elevated chlamydial antibody levels are comparable to HSG (48) in diagnosing TFI and that HSG does not add to the medical knowledge on whether C. trachomatis infection contribute to tubal pathology (49).
  • It is unknown whether these antigens themselves or antigen-specific immune responses contribute to the inflammatory pathologies in the fallopian tubes. The protein CT443, or OmcB, displayed the highest rate of reactivity with TFI patient sera. OmcB is a highly conserved immunodominant antigen, but the precise location of OmcB in the organisms and its role during infection is poorly understood (34, 50-52).
  • Despite the overwhelming evidence of C. trachomatis infection association with TFI, not every patient is infected with C. trachomatis or developed immune responses to C. trachomatis. Interventions such as early antibiotic therapy may cause a negative or low titer in patients, but it is unlikely that tubal pathology would be attributed to the C. trachomatis infection in these patients. Tubal pathology in TFI patients without positive C. trachomatis titers might be caused by other sources of infection such as Neisseria gonorrhoeae (53-54) and Mycoplasma genitalium (55-56). Thus, to further increase the sensitivity in diagnosing TFI, other infection causes should also be taken into account.
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    Example 2 Chlamydia trachomatis Antigens Recognized by Women with Tubal Factor Infertility, Normal Fertility and Acute Infection Abstract.
  • To identify C, trachomatis antigens associated with tubal factor infertility, a whole genome scale C. trachomatis proteome array was used to compare antibody specificity profiles among women with tubal factor infertility, normal fertility and acute C. trachomatis infection. Thirteen immunodominant antigens reacted with ≧50% antisera from all women. Ten C. trachomatis antigens were uniquely recognized by women diagnosed with tubal factor infertility. Assessing antigen fragments with serum sample dilution, chlamydial antigens HSP60, CT376, CT557 & CT443 could discriminate between women with tubal factor infertility and women with normal fertility at a sensitivity of 63% and specificity of 100%, respectively. However, these antigens also strongly reacted with antisera from women diagnosed with acute C. trachomatis infections. Nevertheless, women with an acute infection preferentially recognized a new set of 21 antigens. Of these, CT875 & CT147 together distinguished women with acute infection from all other C. trachomatis-exposed women with a detection sensitivity of 63% and specificity of 100%, respectively. A combination of both sets of antigens may be useful to screen all women for tubal factor infertility and identify acute C. trachomatis infection.
  • Introduction.
  • Chlamydia trachomatis is a leading cause of sexually transmitted bacterial infection (STI) in the US, affecting over one million women in 2008 alone (1). The incidence of C. trachomatis infection has steadily increased since it was first recorded in 1984, and continues to rise yearly. C. trachomatis infection is often undiagnosed and untreated because it is asymptomatic. If untreated, C. trachomatis infection may lead to ascending infection, causing complications such as ectopic pregnancy and tubal factor infertility (1-2). However, not all women infected with C. trachomatis develop tubal damage. Up to 50% of women with normal fallopian tubes on laparoscopy or normal fertility have developed high titers of anti-C. trachomatis antibodies (3). It is not clear what determines whether a C. trachomatis-exposed woman will develop tubal pathology and complications. Nevertheless, the severity and number of episodes of C. trachomatis infection can contribute to tubal pathology. Since host immune responses reflect both infection status and host responsiveness to infection, monitoring specific antibody responses to C. trachomatis infection may lead to the identification of biomarkers that correlate with tubal pathology. Women with robust antibody responses to the C. trachomatis major outer membrane protein (MOMP) are less likely to develop tubal pathology while those who generate high titers of anti-HSP60 antibodies are at a significantly higher risk of developing tubal factor infertility (TFI) (4). High resolution mapping of host antibody responses to C. trachomatis infection may aid in the identification of C. trachomatis antigens associated with TFI.
  • Previous studies have revealed a strong association of anti-C. trachomatis and anti-HSP60 antibodies with TFI (3-9). Using a high-resolution whole genome scale protein array assay, the profiles of antigen specificities of anti-C, trachomatis antibodies were compared between women with TFI and women with infertility due to other causes (infertility control, IFC). The association of HSP60 antibodies with TFI was confirmed and additional new C. trachomatis antigens associated with TFI were identified (5). However, these and other studies focused on well-defined study subjects for comparison. When more diverse patient populations were included in the comparison, the anti-C. trachomatis and HSP60 antibodies no longer significantly correlated with tubal factor infertility or subfertility (10). The goal of the current study is to identify C. trachomatis antigens that are preferentially recognized by different groups of women with diverse socio-economic status. It was found that C. trachomatis antigens such as HSP60, which have previously been shown to be associated with TFI (5), were also highly reactive with antisera from women with acute C. trachomatis urogenital tract infection. Thus, TFI-associated antigens including HSP60 cannot predict tubal factor infertility in the general female population. Here, a whole genome scale proteome array was used to define a set of 21 antigens for distinguishing women with acute C. trachomatis infection from other C. trachomatis-exposed women. It is demonstrated that distinct panels of C. trachomatis antigens may be used to predict pathology and/or clinic phenotypes caused by C. trachomatis infection.
  • Human Subjects.
  • All patients were enrolled at the University of Texas Health Science Center at San Antonio after receipt of Institutional Review Board (IRB) approval. All participants underwent a single blood draw. Serum samples were stored at −20° C. until analyzed. Subjects were composed of three distinct socioeconomic and demographic groups. The TFI group (N=24) was recruited from a university-based infertility clinic. The typical payer mix is 13% privately insured, 69% self pay, and 18% military. Subjects with TFI were eligible if they were at least 21 years of age and had a pelvic laparoscopy demonstrating hydrosalpinx, fimbrial phimosis, or peritubal adhesions. Exclusion criteria included prior tubal ligation, surgical finding of endometriosis, or a history of pelvic infection or inflammation other than pelvic inflammatory disease, such as appendicitis. The fertile control (FC) group (N=25) was recruited from a university affiliated county hospital. The typical payer mix is 31% privately insured, 29% Medicare, 36% Medicaid. FC subjects were eligible if they were at least 21 years of age and had at least one live birth and normal pelvic findings at the time of tubal ligation. FC patients were enrolled at the time of their scheduled tubal ligation. Sterilization was performed either via laparoscopy or via mini-laparotomy. The sexually transmitted infection (STI) group (N=24) was referred by the health department to a university based STI clinic after diagnosis of any sexually transmitted infections or diseases. Patients reported their insurance as 11% privately insured, 25% Medicaid, 25% uninsured and 14% did not respond. STI patients were eligible if they were of reproductive age (15-45 years of age) and had a recent diagnosis of C. trachomatis infection. The diagnosis was based on positive C. trachomatis nucleic acid detection in vaginal swab samples as described previously (11-12). Blood was taken within 2 weeks of the diagnosis.
  • Cell Culture and Chlamydial Infection.
  • As previously described (13-14), HeLa cells (American Type Culture Collection) were cultured in Dulbecco's minimum essential medium (DMEM; GIBCO) with 10% fetal calf serum (GIBCO) at 37° C. with 5% CO2 . C. trachomatis serovar D or C. pneumoniae AR39 organisms were grown, purified, and titrated as previously described (3, 5, 13, 15). For immunofluorescence assay, chlamydial organisms were used to infect HeLa cells grown on glass coverslips in 24-well plates. The subconfluent HeLa cells were treated with DMEM containing 30 mg/mL of DEAE-Dextran (Sigma) for 10 minutes at 37° C. After removal of DEAE-Dextran solution, chlamydial organisms were added to the wells for 2 hours at 37° C. The infected cells were continuously cultured in DMEM with 10% fetal calf serum and 2 mg/mL of cycloheximide (Sigma) for 48 h (C. trachomatis) or 72 h (C. pneumoniae) before sample processing.
  • Immunofluorescence Assay.
  • Antichlamydial organism antibodies in human sera were titrated using an immunofluorescence assay as previously described (3, 5). Briefly, HeLa cells grown on coverslips were infected with C. trachomatis or C. pneumoniae organisms, fixed with 2% paraformaldehyde, and permeabilized with 2% saponin at room temperature for 1 hour. After blocking, human sera were added to the Chlamydia-infected cell samples. The primary antibody binding was visualized with a goat anti-human IgG conjugated with Cy3 (red; Jackson ImmunoResearch Laboratories), and DNA was labeled with Hoechst dye (blue; Sigma-Aldrich). The highest dilution of a serum that still gave a positive reactivity was defined as the titer of the given serum sample. Serum samples were serially diluted, and the appropriate dilutions were repeated multiple times according to the results obtained from prior dilutions, to obtain a more accurate titer for each serum. Images were acquired with an Olympus AX70 fluorescence microscope equipped with multiple filter sets, as previously described (16-17).
  • Chlamydial Fusion Protein-Arrayed Microplate ELISA.
  • Glutathione S-transferase (GST) fusion protein ELISA for detecting human antibody recognition of chlamydial proteins was carried out as previously described (11-12). Bacterial lysates containing individual chlamydial GST fusion proteins were added to 96-well microplates precoated with glutathione (Pierce) at a 1:10 dilution in PBS, with a total volume of 200 μL per well. Lysates containing GST alone, as negative, and GST-chlamydial protease/proteasome-like activity factor (CPAF), as positive controls, were also included on each plate. The plates were incubated overnight at 4° C. to allow GST fusion proteins to bind to the plate-immobilized glutathione, then blocked with 2.5% milk in phosphate-buffered saline (PBS) and washed with PBST (PBS with 0.05% Tween 20; Sigma-Aldrich). The human sera were preabsorbed with a bacterial lysate containing GST at 4° C. overnight, then incubated with glutathione beads (bioWorld) for 1 hour at room temperature to reduce background caused by nonspecific human antibodies. The human antibody reactivity was detected with a goat anti-human IgG, IgA, and IgM conjugated with horseradish peroxidase (Jackson ImmunoResearch Laboratories) plus the substrate 2,20-azino-bi (2-ethylbenzothiazoline-6-sulforic acid)diammonium salt (Sigma). The optical density (OD) was measured at 405 nm using a microplate reader (Molecular Devices). To confirm the antibody binding specificity, all sera were further absorbed with lysates made from either HeLa cells alone or C. trachomatis serovar D-infected HeLa cells before reacting with the fusion protein-coated plates. The absorption was carried out as follows: HeLa cells with or without chlamydial infection were lysed via sonication at 2×107 cells per milliliter of PBS containing a cocktail of protease inhibitors. The prediluted serum samples were incubated with cell lysates overnight at 4° C. before reacting with the plate-immobilized chlamydial fusion proteins. The antibody binding that remained positive after HeLa-alone lysate absorption but significantly reduced by Chlamydia-HeLa lysate absorption was considered true positive.
  • Data Analyses.
  • Data were analyzed using Microsoft Excel 2007. ANOVA was used to compare anti-C. trachomatis and anti-C. pneumoniae antibody titers between all three groups of patients. Student's t-Test was used to identify statistical differences between given two groups. Results from ELISA were analyzed using both Student's t-Test (for comparing quantitative OD value data) and Chi-squared or Fisher's Exact test (for comparing the number of sera positively reacted with a given antigen). Combination of these two methods allowed for the identification of C. trachomatis antigens that are both clinically and statistically significant. When Student's t-Test was used, the OD values after subtracting background from the same plate were used. When the Chi squared test was used, positive reactivity frequency was used. A reaction was determined positive when the OD value was 2 standard deviations (SD) above the mean calculated from the same 96-well plate (5).
  • Overall Anti-C. trachomatis and Anti-C. pneumoniae Antibodies in Three Groups of Women.
  • Serially diluted serum samples from women with tubal factor infertility (TFI), normal fertility (FC) and acute C. trachomatis infection (STI) were reacted with C. trachomatis and C. pneumoniae-infected HeLa cells to measure the titers of the corresponding antibodies (Table 3). STI women displayed the lowest levels of anti-C. pneumoniae antibodies compared to TFI and FC groups (P<0.05 for both, Student's t-Test) while TFI and FC displayed similar levels of the antibodies (p=0.34). The distribution of anti-C. pneumoniae antibodies correlated well with the age distribution among the three groups of women. STI women were significantly younger (mean age 21.8±3.1 years) than both TFI (34.6±4.4, p<0.05) and FC (32.5±5.7, p<0.05), respectively, while the TFI and FC women displayed similar ages (p>0.05). These results are consistent with a general concept that anti-C. pneumoniae antibody levels increase as age increases (18-19).
  • However, the anti-C. trachomatis antibody titers were highest in the STI group compared to those in either the TFI or FC groups (p=0.0748 & p=0.0099, respectively) while there was no significant difference between TFI and FC groups (p=0.2229). The STI group was significantly younger than both the TFI and FC groups as noted above. Thus, in contrast to the age-dependent increase in anti-C. pneumoniae antibody titers, the anti-C. trachomatis antibody titers decreased as age progressed, probably due to reduced exposure to C. trachomatis. This observation is consistent with CDC data showing that adolescents and young women ages 15 to 24 are at the highest risk for STIs (2). Although the titer of anti-C. trachomatis antibodies in TFI women (35483.33±39950.49) appeared to be higher than that in FC women (23760.00±23974.4), the difference was not statistically significant (p=0.2229), which stands in contrast to the previous report that women with tubal factor infertility displayed significantly higher levels of anti-C. trachomatis antibodies than women with infertility due to non-tubal causes (3, 5). The previous studies focused on infertile women recruited from an infertility clinic while the above analysis compared tubal factor infertility women from the infertility clinic with women of normal fertility. Clearly, when diverse female populations are included, the overall anti-C. trachomatis antibody levels are no longer associated with tubal factor infertility. A whole genome scale protein array was used next to profile antigen-specificities of antibodies in the serum samples from this diverse population of women.
  • Genome-Wide Antibody Profiles Reveal Immunodominant Antigens Commonly Recognized by all Three Groups of Women.
  • Anti-C. trachomatis antibodies from 24 TFI, 25 FC and 24 STI women were profiled for their antigen-specificities at a genome-wide scale. These 73 antisera recognized C. trachomatis antigens distributed across the entire genome with 541 antigens recognized by at least one antiserum and 367 antigens not detected by any antisera. Many C. trachomatis antigens were recognized by all 3 groups of women although some antigens were preferentially recognized by individual or combinations of groups. Regardless of which groups the women were from, 50% or more of the 73 women recognized a total of 13 antigens, including pCT03 (93% frequency) (Pgp3, a plasmid-encoded hypothetical protein that is secreted into host cell cytosol (20-21)), CT858 (90% frequency) (CPAF, a chlamydial protease/proteasome-like activity factor known to be secreted into host cell cytosol (14)), CT101 (79% frequency) (hypothetical protein, HP), CT841 (77% frequency) (FtsH, ATP-dependent Zinc protease), CT240 (73% frequency) (Recombination protein RecR), CT443 (73% frequency) (outer membrane complex protein B, OmcB (22)), CT142 (60% frequency) and CT143 (71% frequency) (both HPs), CT813 (68% frequency) and CT529 (62% frequency) (both inclusion membrane proteins, Incs (23, 24)), CT694 (66% frequency) (a putative effector of the type III secretion pathway (25)), CT022 (55% frequency) (50S ribosomal protein L31 type B) and CT806 (55% frequency) (insulinase family/protease III, Ptr). These proteins are designated as immunodominant antigens in these women.
  • Identification of Antigens Preferentially Recognized by TFI Women.
  • The reactivity of the antiserum samples with each of the 908 C. trachomatis antigens was compared between the 3 groups of women both quantitatively (comparison of OD values using ANOVA) and qualitatively (comparison of recognition frequency using Fisher's Exact test). Antigens that displayed statistically significant differences in antibody reactivity (either quantitatively or qualitatively) and were recognized by 10% or more of the antisera from at least one group of women were selected. There were a total of 97 antigens that met both the above requirements. The use of 10% cutoff for recognition frequency was set to eliminate antigens with extremely low reactivities that were no longer biologically significant, although statistically significant. Many antigens shown at the bottom half of the figure were visually identifiable as antigens preferentially recognized by women from one or two groups but not all groups. Since a major goal of the current study is to identify TFI-associated antigens, the antigens that displayed statistically significant differences in recognition by TFI versus FC women were analyzed first (Table 4). Among the 10 antigens that were preferentially recognized by TFI women, 5 failed to react with any antisera from FC women under the current serum dilution (1:1000), suggesting that these antigens can distinguish TFI from FC women with 100% specificity. When the reactivity patterns of these 5 antigens with TFI women were revealed (FIG. 2), it was found that CT110, the chlamydial HSP60, reacted with antisera from 9 out of 24 TFI women, thus with a detection sensitivity of 38%. Antigen CT376 reacted with additional 3 TFI samples while CT557 reacted with another 2 TFI samples. Together, these 3 antigens detected TFI samples with a sensitivity of 58% while still maintaining 100% specificity. Among the remaining 5 antigens recognized by both TFI and FC women, CT443, the outer membrane complex protein B (OmcB) was recognized by TFI women with the highest frequency and intensity (both were significantly higher compared to FC women). Testing was done to determine whether a combination of human serum dilution and CT443 fragments could help to further differentiate TFI from FC women (FIG. 3). The CT443 full length (FL) proteins were expressed in 12 different fragments, all of which were used to react with both TFI and FC women antisera at different dilutions. Only the fragments representing the C-terminal portion of CT443, including fragments 9 (F9), 11 and 12, were reactive with human antisera. Nevertheless, at each human serum dilution, the CT443 fragments produced significantly greater differences than the full length CT443 did in antibody reactivity between TFI and FC samples. For example, at 1:1000 dilution of human sera, the full length CT443 reacted with 88% of TFI and 60% of FC women (a 32% decrease in reactivity with FC women antibodies) while F9 reacted with 42% TFI and only 8% FC (81% decrease), F11 reacted with 58% TFI and 24% FC (59% decrease) and F12 reacted with 50% TFI and 16% FC (48% decrease). When the human antiserum was used at 1:3000 dilution, F11 still reacted with 50% TFI but only 4% FC, representing a 92% decrease in reactivity with FC. Only one of the 25 FC antisera remained reactive with F11. Further modification of F11 may lead to the elimination of the FC reactivity while maintaining high levels of reactivity with TFI. These results have provided proof of principle that fragmentation of immunodominant cross-reactive antigens may represent a viable approach for identifying antigens with increasing differential diagnosis power. Interestingly, when human sera were diluted to 1:10,000, the full length CT443 no longer reacted with any FC women samples but retained reactivity with 38% of TFI samples, suggesting that serum sample dilution may represent another strategy to increase the ability to differentiate between women with different phenotypes. When the reactivity patterns of CT443 and its fragment 11 were compared with those of HSP60, CT376 and CT557, one additional TFI antiserum was detected (FIGS. 4A-B). Thus, a combination of these 4 antigens achieved a detection sensitivity of 63% for TFI women while still maintaining 100% detection specificity when both TFI and FC women were included.
  • Identification of Antigens Preferentially Recognized by Women with Acute C. trachomatis Infection.
  • When the antigens that were demonstrated to be able to discriminate TFI from FC samples with 100% specificity were applied to women diagnosed with acute C. trachomatis infection from a STI clinic, these antigens also strongly reacted with the STI serum samples even when the samples were highly diluted (FIG. 4). This is because STI women were all diagnosed with acute C. trachomatis infection when sera were collected and they developed high titers of antibodies to many antigens as revealed in Table 3. Fortunately, the whole genome scale proteome array also allowed the identification of C. trachomatis antigens that were preferentially recognized by STI but not TFI women (Table 5). A total of 21 antigens that displayed the greatest differences in reactivity between STI and TFI women were selected based on both quantitative and qualitative statistical analyses. It appeared that all 21 antigens strongly reacted with samples from patients with STIs, but were poorly recognized by either TFI or FC women serum samples. For example, when human serum samples were diluted at 1:1000, CT147 reacted with 88% of STI, but only 21% of TFI or 16% of FC samples and CT875 was recognized by 75% STI women, but only 17% of TFI or 16% FC women. Clearly, these 21 antigens were highly associated with acute infection since only the STI women were detected positive for C. trachomatis DNA in vaginal swab samples at the time when sera were taken while neither TFI nor FC women displayed any sign of acute C. trachomatis infection. These antigens could be used to distinguish STI patients from those in other groups. These antigens have been designated as acute infection-associated antigens. When human serum samples were diluted at 1:10,000, 13 of the 21 acute infection-associated antigens maintained positive reactivity with STI samples, but failed to react with any serum samples from either TFI or FC women (FIG. 5). The reactivity patterns of these 13 acute infection-associated antigens revealed that CT875 reacted with 14 out of the 24 STI serum samples. CT147 reacted with an additional STI sample (although the rest reacted with STI samples already detected by CT875 and CT147). Thus, antigens CT875 and CT147 together can be used to distinguish STI women from the rest of women with a detection sensitivity of 63% and a specificity of 100%. Continuing optimization of the detection system and use of acute infection-associated antigen fragments may allow for further increases in detection sensitivity while maintaining high specificity.
  • Table 3 shows titers of antibodies against C. trachomatis and C. pneumoniae in women with tubal factor infertility (TFI), normal fertility (FC) or acute infection (STI). Serum samples from women with TFI, FC, or STI were 2-fold serially diluted starting with 1:10 and reacted with HeLa cells infected with either C trachomatis or C pneumoniae. The highest dilution that still gave a positive reactivity was defined as the serum titer. ANOVA was used to analyze the overall differences among the 3 groups. There is a statistically significant difference in titers of antibodies against both C. trachomatis and C. pneumoniae. However, further pairwise analyses with Student's t-Test reveals significantly higher titers of anti-C. trachomatis but lower titers of anti-C. pneumoniae antibodies in STI women.
  • Table 4 shows antigens preferentially recognized by women with tubal factor infertility (TFI) but not normal fertility (FC). When Fisher's Exact test and Student's t-Test were used to compare each of 908 protein reactivities between TFI and FC groups, 10 antigens displayed statistically significantly differences by either method. Their corresponding ORF names, reactivity frequency (Freq) and intensity (OD values: mean plus/minus standard deviations) along with the p values were listed in corresponding columns. Five of the 10 antigens (CT110, CT376, CT111, CT557 & CT579) reacted with no FC samples.
  • Table 5 shows antigens that are most significantly recognized by women with acute C. trachomatis infection. Each of the 541 human antibody-reactive C. trachomatis antigens was compared for their reactivities with antisera from STI versus TFI or FC women using Student's t-Test (for comparing OD values in mean plus/minus standard deviations) and Fisher's Exact Test (for comparing reactive frequencies, Freq; a positive reaction was identified if the OD value is equal to or above the mean plus 2 standard deviations). Antigens that displayed the most differences and were recognized by STI women with a recognition frequency of 30% or higher were selected. A total of 21 antigens met the two requirements and were listed from top to bottom based on the extent of differential recognition by STI versus TFI or FC women. The reactivity was measured using a human serum dilution of 1:1000. All antigens were highly reactive with STI women samples and significantly less reactive with both TFI and FC samples.
  • In this study, the whole genome scale proteome array analyses have been extended to women with TFI, normal fertility or acute infection from a diverse socioeconomic group of women in San Antonio, Tex. The overall goal is to define C. trachomatis antigens that can be used to differentiate women with different clinical phenotypes after C. trachomatis infection with a focus on identifying biomarkers for predicting/diagnosing tubal factor infertility. The 3 groups of women recruited into the current study can largely represent the general female population since their overall anti-C. pneumoniae antibody levels increase as ages progress as demonstrated in other populations of women (18-19) while the overall anti-C. trachomatis antibody levels are the highest in STI women with an age range that is known to be most susceptible to C. trachomatis infection in the US (2). Although the 3 groups of women recognized many common antigens, quantitative and qualitative statistical analyses have allowed for the identification of 10 antigens that were preferentially recognized by TFI but not FC groups. Using serum sample dilution and antigen fragmentation to increase differentiating capacity, a 4-antigen combination consisting of HSP60, CT376, CT557 and CT443 distinguished tubal factor infertility from normal fertility women with a detection sensitivity of 63% and specificity of 100%. However, these same antigens also strongly reacted with antisera from women diagnosed with acute C. trachomatis from a STI clinic. Fortunately, the whole genome proteome array has led to the identification of 21 antigens that are highly associated with acute infection, two of which, CT875 & CT147, distinguished women with acute infection from other C. trachomatis-exposed women with a detection sensitivity of 63% and specificity of 100%. Thus, it is possible to use a combination of antigens to screen all women for predicting/diagnosing chlamydial infection and diseases.
  • Many previous studies have shown an association of anti-C. trachomatis antibodies with tubal factor infertility or subfertility (3, 5-7). Many of these studies focused on the comparison between women with tubal factor infertility and infertile women due to non-tubal causes but both visiting the same infertility clinics. However, when more diverse female populations were analyzed and included in the comparison, the anti-C. trachomatis antibodies were no longer significantly higher in patients with tubal factor infertility (10). In the current study, no statistically significant difference in anti-C. trachomatis antibody titers was found between women diagnosed with tubal factor infertility from a infertility clinic and women with normal fertility undergoing tubal ligation procedures. Thus, the overall anti-C. trachomatis antibodies, although highly associated with tubal factor infertility when compared to infertile women, cannot predict tubal factor infertility among C. trachomatis-exposed women.
  • It has been previously shown that chlamydial HSP60 detected tubal factor infertility with a sensitivity of 36% and a specificity of 100% while a combination of antigens CT443 and CT381 provided a detection sensitivity of 68% while still maintaining 100% specificity (5). In the current study, when the antigen specificity profiles of anti-C. trachomatis antibodies in the TFI women were compared with those in FC women undergoing tubal ligation, these previous overall findings still held true. The chlamydial HSP60 along with antigens CT376 & CT557 positively detected 14 out of the 24 TFI samples with a sensitivity of 58%, but failed to react with any serum samples from FC women (100% specificity) (FIG. 6). CT443 or OmcB (outer membrane complex protein B) was found to react with serum samples only from tubal factor but not non-tubal infertility patients in the previous study (5). Although CT443 was recognized by both TFI and FC women in the current study, the reactivity of CT443 with TFI women was significantly stronger than that with FC women.
  • Using antigen fragmentation and serum dilution, it was possible to increase specificity of this diagnosis. By increasing the serum dilution, CT443 or CT443 fragments were able to differentiate TFI from FC samples. Using a dilution of 1:3,000, CT443 F11 reacted with 50% TFI but only 4% FC. Additional modifications of F11 may eliminate the residual FC reactivity. Further dilution of human sera to 1:10,000 completely removed the reactivity of CT443 with FC samples but allowed reactivity of CT443 with 38% of TFI samples. Together, these observations have provided a proof of principle that serum dilution and fragmentation of immunodominant cross-reactive antigens may represent viable approaches for identifying biomarkers to diagnose pathologies or predict clinic phenotypes associated with C. trachomatis.
  • Although the antigens identified above can distinguish TFI from FC women with 100% specificity, these antigens were also found to be strongly reactive with serum samples from women diagnosed with acute C. trachomatis infection from a STI clinic. Fortunately, the power of the whole genome scale proteome array has also allowed or the identification of 21 C. trachomatis antigens that were preferentially recognized by STI but not TFI nor FC women. Two of the 21 acute infection-associated antigens, CT875 and CT147, distinguished STI women from TFI and FC women with a detection sensitivity of 63% and a specificity of 100%. Continued optimization of the detection system and use of acute infection-associated antigen fragments may allow for further increases in detection sensitivity while maintaining high specificities. The observation that the acute infection-associated antigens were all poorly recognized by both TFI and FC women suggests that women in the TFI and FC groups were exposed to C. trachomatis in the past without ongoing infection. All STI women were detected positive for C. trachomatis DNA in vaginal swab samples at the time when sera were taken (11-12). However, the C. trachomatis status in either TFI or FC women was not specifically monitored when blood samples were collected. Nevertheless, physical examination revealed that none of the TFI and FC women displayed any sign of acute C. trachomatis infection in the lower genital tract (data not shown) and the nucleic acid detection rate was very low in patients who visited the same infertility or OB/GYN clinics in the past. Thus, the acute infection-associated antigens may represent useful biomarkers for indicating recent infection.
  • Identification of biomarkers associated with pathologies and/or clinic phenotypes caused by C. trachomatis infection will not only provide safer means for diagnosis or prognosis of C. trachomatis infection and diseases but may also promote better understanding of the mechanisms of C. trachomatis pathogenesis. It is widely believed that the association of chlamydial HSP60 with TFI suggests a role of HSP60 or host immune responses to HSP60 in tubal pathologies. Due to the high degree of amino acid sequence homology between chlamydial and human HSP60, anti-chlamydial HSP60 antibodies may cross-react with host HSP60 (26-27) or anti-HSP60 T cell responses may attack fallopian tube tissues (28-29). However, a recent study has shown that although antibodies reactive with chlamydial HSP60 were significantly higher in TFI women than those in control group, antibodies reactive with human HSP60 were at similar levels in both groups (30), suggesting that the anti-HSP60 cross-reactive antibodies may not significantly contribute to chlamydial pathogenesis. Chlamydial HSP60 has been shown to activate inflammatory pathways in macrophages (31), which may allow HSP60 to exacerbate inflammatory damage in fallopian tubes. The other C. trachomatis antigens that are significantly associated with TFI including CT376, CT557 & CT443 may also contribute to tubal pathology. Both CT376 and CT557 are highly conserved metabolic enzymes: malate dehydrogenase (334 amino acids) and dihydrolipoamide dehydrogenase (pyruvate dehydrogenase E3 component, 465 amino acids), respectively. These enzymes share high degrees of amino acid sequence homology with their host counterparts with 43% for CT376 and 38% for CT557, respectively. These metabolic enzymes are supposed to be localized in the cytoplasm of chlamydial organisms and should not be leaked into host cells during chlamydial infection. As with the cytoplasmic HSP60, CT376 and CT557 may be released into host environments after RB lysis. Clearly, both CT376 and CT557 are exposed to human immune cells during chlamydial infection in humans since humans developed robust antibody responses to these proteins. The question is whether CT376 and CT557 can be as inflammatory as HSP60 and immune responses to these proteins can contribute to chlamydial pathogenesis. CT443 or OmcB is an immunodominant protein in the outer membrane complex known as outer membrane complex protein B, although its precise location in chlamydial organisms remains unclear. It has been shown that a CT443 C-terminal fragment is released into host cell cytosol (22), which may explain the high immunogenicity of CT443 C-terminus since chlamydial proteins secreted into or exposed to host cell cytosol are known to be more immunogenic (32-33). Consistent with this concept is the current finding that most human antibodies recognized CT443 fragments covering the C-terminal regions and a previous report that a CD8+ T cell epitope was mapped to CT443 C-terminus (34).
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    • 31. Bulut Y et al. Chlamydial heat shock protein 60 activates macrophages and endothelial cells through Toll-like receptor 4 and MD2 in a MyD88-dependent pathway. J Immunol 2002 Feb. 1; 168(3):1435-40.
    • 32. Sharma et al. Human antibody responses to a Chlamydia-secreted protease factor. Infect Immun 2004 December; 72(12):7164-71.
    • 33. Li et al. Characterization of fifty putative inclusion membrane proteins encoded in the Chlamydia trachomatis genome. Infect Immun 2008 June; 76(6):2746-57.
    • 34. Gervassi et al. Human CD8+ T cells recognize the 60-kDa cysteine-rich outer membrane protein from Chlamydia trachomatis. J Immunol 2004 Dec. 1; 173(11):6905-13.
  • TABLE 1
    Titers of antibodies against C. trachomatis and C. pneumoniae
    in infertile women with or without tubal pathology
    Antibodies to C. trachomatis Antibodies to C. pneumoniae
    TFI (n = 31) IFC (n = 23) TFI (n = 31) IFC (n = 23)
    Quantitative Mean  69928 3814 41503 25861
    analyses Standard 106709 8270 65848 35847
    Deviation
    Student's p = 0.0009 p = 0.269
    t Test
    Categorization of serum samples into Negative, Low and High titer groups
    Qualitative Negative 1 (3.2%)  3 (13.0%) 3 (9.7%) 4 (17.4%)
    analyses titers
    (<1:10)
    Low titers 11 (35.5%) 19 (82.6%) 11 (34.5%) 6 (26.1%)
    (1:10-
    1:10000)
    High titers 19 (61.3%) 1 (4.4%) 17 (54.8%) 13 (56.5%) 
    (>1:10000)
    χ2 Test p < 0.001 p = 0.634
    Pairwise High vs. Negative p = 0.008 N/A
    χ2 Tests
    High vs. Low p < 0.001
    Low vs. Negative p = 0.556
  • TABLE 2
    Reactivity of 30 significant C. trachomatis proteins with 31 TFI and 23 IFC patient antisera (1:800 dilution)
    CT TFI (n = 31) IFC (n = 23)
    ORF X +/− SD X +/− SD t-Test Specificity Sensitivity PPV NPV
    CT067 0.407 ± 0.483 0.045 ± 0.115 <0.001 87.0% 51.6% 84.2% 57.1%
    CT089 0.645 ± 0.936 0.189 ± 0.407 0.020 78.3% 45.2% 73.7% 51.4%
    CT110 0.679 ± 0.756 0.069 ± 0.112 <0.001 82.6% 71.0% 84.6% 67.9%
    CT116 0.176 ± 0.252 0.012 ± 0.059 0.001 95.7% 32.3% 90.9% 51.2%
    CT119 0.375 ± 0.501 0.082 ± 0.196 0.005 87.0% 48.4% 83.3% 55.6%
    CT142 0.468 ± 0.522 0.098 ± 0.138 0.001 78.3% 54.8% 77.3% 56.3%
    CT143 1.012 ± 0.818 0.166 ± 0.220 <0.001 73.9% 71.0% 78.6% 65.4%
    CT147 0.789 ± 0.678 0.303 ± 0.185 0.001 34.8% 80.6% 62.5% 57.1%
    CT153 0.404 ± 0.561 0.071 ± 0.110 0.003 91.3% 45.2% 87.5% 55.3%
    CT322 0.366 ± 0.586 0.055 ± 0.112 0.007 95.7% 41.9% 92.9% 55.0%
    CT376 0.453 ± 0.616 0.072 ± 0.097 0.002 95.7% 41.9% 92.9% 55.0%
    CT381 0.330 ± 0.346 0.059 ± 0.074 <0.001 95.7% 51.6% 94.1% 59.5%
    CT414 0.327 ± 0.469 0.061 ± 0.082 0.004 95.7% 51.6% 94.1% 59.5%
    CT442 0.486 ± 0.622 0.055 ± 0.070 0.001 91.3% 48.4% 88.2% 56.8%
    CT443 1.145 ± 1.020 0.110 ± 0.173 <0.001 87.0% 71.0% 88.0% 69.0%
    CT456 0.803 ± 0.879 0.241 ± 0.558 0.006 73.9% 64.5% 76.9% 60.7%
    CT529 0.854 ± 0.644 0.444 ± 0.310 0.003 13.0% 87.1% 57.4% 42.9%
    CT557 0.358 ± 0.638 0.028 ± 0.057 0.007  100% 29.0%  100% 51.1%
    CT603 0.579 ± 0.654 0.141 ± 0.161 0.001 78.3% 61.3% 79.2% 60.0%
    CT681 0.363 ± 0.386 0.060 ± 0.078 <0.001 87.0% 51.6% 84.2% 57.1%
    CT694 0.698 ± 0.848 0.150 ± 0.293 0.002 78.3% 54.8% 77.3% 56.3%
    CT795 0.647 ± 0.771 0.034 ± 0.101 <0.001 95.7% 61.3% 95.0% 64.7%
    CT798 0.622 ± 0.827 0.038 ± 0.089 <0.001 91.3% 51.6% 88.9% 58.3%
    CT806 0.673 ± 0.772 0.104 ± 0.212 <0.001 82.6% 54.8% 81.0% 57.6%
    CT812 0.555 ± 0.667 0.061 ± 0.087 <0.001 91.3% 54.8% 89.5% 60.0%
    CT813 0.673 ± 0.689 0.095 ± 0.165 <0.001 78.3% 67.7% 80.8% 64.3%
    CT823 0.649 ± 0.709 0.071 ± 0.074 <0.001 91.3% 71.0% 91.7% 70.0%
    CT858 1.947 ± 1.276 0.338 ± 0.666 <0.001 78.3% 74.2% 82.1% 69.2%
    CT866 0.574 ± 0.738 0.062 ± 0.079 0.001 91.3% 48.4% 88.2% 56.8%
    pCT03 1.761 ± 1.366 0.166 ± 0.573 <0.001 82.6% 74.2% 85.2% 70.4%
  • TABLE 3
    Titers of antibodies against C. trachomatis and C. pneumoniae
    in women with tubal factor infertility (TFI), normal fertility
    (FC) or acute infection (STI)
    Antibodies to C. trachomatis Antibodies to C. pneumoniae
    TFI FC STI TFI FC STI
    Groups (n = 24) (n = 25) (n = 24) (n = 24) (n = 25) (n = 24)
    Mean 35483.33 23760.00 65500.00 23000.00 17136.00 7875.00
    Standard 39950.49 23974.43 70078.87 23083.97 19709.45 6295.70
    deviation
    ANOVA PP = 0.0108 PP = 0.0166
    TFI vs FC vs. TFI vs. TFI vs FC vs TFI vs.
    FC STI STI FC STI STI
    Student's P = 0.2229 P = 0.0099 P = 0.0748 P = 0.3431 PP = 0.0331 P = 0.0033
    t-Test
  • TABLE 4
    Antigens preferentially recognized by woman with Tubal Factor
    Infertility but not normal fertility
    Groups TFI (N = 24) FC (N = 25) P value
    ORFs Freq. Mean ± SD Freq. Mean ± SD Fisher's t-Test
    CT110
    38% 0.308 ± 0.512  0% 0.018 ± 0.054 <0.001 0.011
    CT376 25% 0.137 ± 0.186  0% 0.005 ± 0.037  0.010 0.001
    CT111 17% 0.129 ± 0.238  0% 0.043 ± 0.062  0.050 0.098
    CT557 17% 0.142 ± 0.289  0% 0.008 ± 0.047  0.050 0.035
    CT579 17% 0.077 ± 0.163  0% 0.004 ± 0.040  0.050 0.025
    CT443 88% 0.717 ± 0.576 60% 0.306 ± 0.258  0.030 0.003
    CT798 58% 0.374 ± 0.403 28% 0.182 ± 0.328  0.031 0.074
    CT603 42% 0.187 ± 0.203 16% 0.071 ± 0.140  0.047 0.025
    CT381 21% 0.102 ± 0.149  4% 0.027 ± 0.072  0.086 0.031
    CT823 17% 0.122 ± 0.158  4% 0.034 ± 0.109  0.162 0.029
  • TABLE 5
    21 antigens most significantly recognized by women with acute C. trachomatis infection
    (antiserum dilution 1:1.000)
    Groups STI (n = 24) TFI (n = 24) FC (n = 25) STI vs. TFI STI vs. FC TFI vs. FC
    ORFs Freq Mean ± SD Freq Mean ± SD Freq Mean ± SD t-Test Fisher's t-Test Fisher's t-Test Fisher's
    CT147 88% 0.937 ± 0.776 21% 0.161 ± 0.191 16% 0.117 ± 0.213 <0.001 <0.001 <0.001 <0.001 0.455 0.661
    CT442 83% 0.841 ± 0.701 17% 0.151 ± 0.303 20% 0.113 ± 0.229 <0.001 <0.001 <0.001 <0.001 0.623 0.763
    CT529 100%  1.040 ± 0.620 42% 0.293 ± 0.310 32% 0.227 ± 0.341 <0.001 <0.001 <0.001 <0.001 0.483 0.482
    CT119 75% 0.603 ± 0.681 13% 0.124 ± 0.212  4% 0.040 ± 0.072  0.002 <0.001 <0.001 <0.001 0.077 0.277
    CT089 92% 1.364 ± 0.995 33% 0.274 ± 0.456 28% 0.208 ± 0.388 <0.001 <0.001 <0.001 <0.001 0.586 0.685
    CT695 92% 0.825 ± 0.731 33% 0.274 ± 0.342 24% 0.144 ± 0.149  0.002 <0.001 <0.001 <0.001 0.098 0.469
    CT806 88% 0.739 ± 0.643 29% 0.152 ± 0.231 20% 0.102 ± 0.152 <0.001 <0.001 <0.001 <0.001 0.387 0.455
    CT875 75% 0.956 ± 0.727 17% 0.145 ± 0.269 16% 0.098 ± 0.170 <0.001 <0.001 <0.001 <0.001 0.472 0.949
    CT841 96% 1.093 ± 0.625 42% 0.282 ± 0.468 48% 0.232 ± 0.255 <0.001 <0.001 <0.001 <0.001 0.643 0.655
    CT694 92% 1.235 ± 0.763 38% 0.261 ± 0.375 32% 0.311 ± 0.505 <0.001 <0.001 <0.001 <0.001 0.695 0.685
    CT480 54% 0.447 ± 0.529  4% 0.046 ± 0.143  8% 0.027 ± 0.101 <0.001 <0.001 <0.001 <0.001 0.594 0.575
    CT812 63% 0.654 ± 0.731 13% 0.137 ± 0.286  4% 0.028 ± 0.075  0.002 <0.001 <0.001 <0.001 0.083 0.277
    CT228 50% 0.377 ± 0.675  4% 0.037 ± 0.063  0% 0.009 ± 0.041  0.018 <0.001  0.013 <0.001 0.078 0.302
    CT153 83% 0.765 ± 0.785 33% 0.238 ± 0.312 16% 0.112 ± 0.134  0.004 <0.001 <0.001 <0.001 0.079 0.158
    CT381 71% 0.537 ± 0.579 21% 0.102 ± 0.148  4% 0.026 ± 0.071 <0.001 <0.001 <0.001 <0.001 0.031 0.072
    CT118 46% 0.298 ± 0.494  4% 0.041 ± 0.077  0% 0.018 ± 0.046  0.016 <0.001  0.011 <0.001 0.216 0.302
    CT149 67% 0.594 ± 0.941 21% 0.136 ± 0.285 12% 0.067 ± 0.192  0.027  0.001  0.012 <0.001 0.331 0.402
    CT142 92% 1.173 ± 0.686 50% 0.265 ± 0.310 28% 0.204 ± 0.337 <0.001  0.001 <0.001 <0.001 0.512 0.114
    CT619 33% 0.184 ± 0.428  0% 0.005 ± 0.035  4% 0.003 ± 0.054  0.047  0.002  0.050  0.008 0.866 0.322
    CT702 33% 0.279 ± 0.649  0% 0.017 ± 0.038  4% 0.015 ± 0.067  0.030  0.002  0.037  0.008 0.875 0.322
    CT143 100%  1.324 ± 0.681 67% 0.355 ± 0.317 40% 0.202 ± 0.219 <0.001  0.002 <0.001 <0.001 0.058 0.060
  • TABLE 6
    5-mer CT443 (OmcB or CRP60, 553 amino acids),
    ACCESSION#: NP219955.1, GI: 15605169 (SEQ ID NOS:
    1-549)
    1. MRIGD
    2. RIGDP
    3. IGDPM
    4. GDPMN
    5. DPMNK
    6. PMNKL
    7. MNKLI
    8. NKLIR
    9. KLIRR
    10. LIRRA
    11. IRRAV
    12. RRAVT
    13. RAVTI
    14. AVTIF
    15. VTIFA
    16. TIFAV
    17. IFAVT
    18. FAVTS
    19. AVTSV
    20. VTSVA
    21. TSVAS
    22. SVASL
    23. VASLF
    24. ASLFA
    25. SLFAS
    26. LFASG
    27. FASGV
    28. ASGVL
    29. SGVLE
    30. GVLET
    31. VLETS
    32. LETSM
    33. ETSMA
    34. TSMAE
    35. SMAES
    36. MAESL
    37. AESLS
    38. ESLST
    39. SLSTN
    40. YATVG
    41. STNVI
    42. TNVIS
    43. NVISL
    44. VISLA
    45. ISLAD
    46. SLADT
    47. LADTK
    48. ADTKA
    49. DTKAK
    50. TKAKD
    51. KAKDN
    52. AKDNT
    53. KDNTS
    54. DNTSH
    55. NTSHK
    56. TSHKS
    57. SHKSK
    58. HKSKK
    59. KSKKA
    60. SKKAR
    61. KKARK
    62. KARKN
    63. ARKNH
    64. RKNHS
    65. KNHSK
    66. NHSKE
    67. HSKET
    68. SKETP
    69. KETPV
    70. ETPVD
    71. TPVDR
    72. PVDRK
    73. VDRKE
    74. DRKEV
    75. RKEVA
    76. KEVAP
    77. EVAPV
    78. VAPVH
    79. APVHE
    80. PVHES
    81. TTPTA
    82. HESKA
    83. ESKAT
    84. SKATG
    85. KATGP
    86. ATGPK
    87. TGPKQ
    88. GPKQD
    89. PKQDS
    90. KQDSC
    91. QDSCF
    92. DSCFG
    93. SCFGR
    94. CFGRM
    95. FGRMY
    96. GRMYT
    97. RMYTV
    98. MYTVK
    99. YTVKV
    100. TVKVN
    101. VKVND
    102. KVNDD
    103. VNDDR
    104. NDDRN
    105. DDRNV
    106. DRNVE
    107. RNVEI
    108. NVEIT
    109. VEITQ
    110. EITQA
    111. ITQAV
    112. TQAVP
    113. QAVPE
    114. AVPEY
    115. VPEYA
    116. PEYAT
    117. EYATV
    118. YATVG
    119. ATVGS
    120. TVGSP
    121. VGSPY
    122. GSPYP
    123. SPYPI
    124. PYPIE
    125. YPIEI
    126. PIEIT
    127. IEITA
    128. EITAT
    129. ITATG
    130. TATGK
    131. ATGKR
    132. TGKRD
    133. GKRDC
    134. KRDCV
    135. RDCVD
    136. DCVDV
    137. CVDVI
    138. VDVII
    139. DVIIT
    140. VIITQ
    141. IITQQ
    142. ITQQL
    143. TQQLP
    144. QQLPC
    145. QLPCE
    146. LPCEA
    147. PCEAE
    148. CEAEF
    149. EAEFV
    150. AEFVR
    151. EFVRS
    152. FVRSD
    153. VRSDP
    154. RSDPA
    155. SDPAT
    156. DPATT
    157. PATTP
    158. ATTPT
    159. TTPTA
    160. TPTAD
    161. PTADG
    162. TADGK
    163. ADGKL
    164. DGKLV
    165. GKLVW
    166. KLVWK
    167. LVWKI
    168. VWKID
    169. WKIDR
    170. KIDRL
    171. IDRLG
    172. DRLGQ
    173. RLGQG
    174. LGQGE
    175. GQGEK
    176. QGEKS
    177. GEKSK
    178. EKSKI
    179. KSKIT
    180. SKITV
    181. KITVW
    182. ITVWV
    183. TVWVK
    184. VWVKP
    185. WVKPL
    186. VKPLK
    187. KPLKE
    188. PLKEG
    189. LKEGC
    190. KEGCC
    191. EGCCF
    192. GCCFT
    193. CCFTA
    194. CFTAA
    195. FTAAT
    196. TAATV
    197. AATVC
    198. ATVCA
    199. TVCAC
    200. VCACP
    201. CACPE
    202. ACPEI
    203. CPEIR
    204. PEIRS
    205. EIRSV
    206. IRSVT
    207. RSVTK
    208. SVTKC
    209. VTKCG
    210. TKCGQ
    211. KCGQP
    212. CGQPA
    213. GQPAI
    214. QPAIC
    215. PAICV
    216. AICVK
    217. ICVKQ
    218. CVKQE
    219. VKQEG
    220. KQEGP
    221. QEGPE
    222. EGPEN
    223. GPENA
    224. PENAC
    225. ENACL
    226. NACLR
    227. ACLRC
    228. CLRCP
    229. LRCPV
    230. RCPVV
    231. CPVVY
    232. PVVYK
    233. VVYKI
    234. VYKIN
    235. YKINI
    236. KINIV
    237. INIVN
    238. NIVNQ
    239. IVNQG
    240. VNQGT
    241. NQGTA
    242. QGTAT
    243. GTATA
    244. TATAR
    245. ATARN
    246. TARNV
    247. ARNVV
    248. RNVVV
    249. NVVVE
    250. VVVEN
    251. VVENP
    252. VENPV
    253. ENPVP
    254. NPVPD
    255. PVPDG
    256. VPDGY
    257. PDGYA
    258. DGYAH
    259. GYAHS
    260. YAHSS
    261. AHSSG
    262. HSSGQ
    263. SSGQR
    264. SGQRV
    265. GQRVL
    266. QRVLT
    267. RVLTF
    268. VLTFT
    269. LTFTL
    270. TFTLG
    271. FTLGD
    272. TLGDM
    273. LGDMQ
    274. GDMQP
    275. DMQPG
    276. MQPGE
    277. QPGEH
    278. PGEHR
    279. GEHRT
    280. EHRTI
    281. HRTIT
    282. RTITV
    283. TITVE
    284. ITVEF
    285. TVEFC
    286. VEFCP
    287. EFCPL
    288. FCPLK
    289. CPLKR
    290. PLKRG
    291. LKRGR
    292. KRGRA
    293. RGRAT
    294. GRATN
    295. RATNI
    296. ATNIA
    297. TNIAT
    298. NIATV
    299. IATVS
    300. ATVSY
    301. TVSYC
    302. VSYCG
    303. SYCGG
    304. YCGGH
    305. CGGHK
    306. GGHKN
    307. GHKNT
    308. HKNTA
    309. KNTAS
    310. NTASV
    311. TASVT
    312. ASVTT
    313. SVTTV
    314. VTTVI
    315. TTVIN
    316. TVINE
    317. VINEP
    318. INEPC
    319. NEPCV
    320. EPCVQ
    321. PCVQV
    322. CVQVS
    323. VQVSI
    324. QVSIA
    325. VSIAG
    326. SIAGA
    327. IAGAD
    328. AGADW
    329. GADWS
    330. ADWSY
    331. DWSYV
    332. WSYVC
    333. SYVCK
    334. YVCKP
    335. VCKPV
    336. CKPVE
    337. KPVEY
    338. PVEYV
    339. VEYVI
    340. EYVIS
    341. YVISV
    342. VISVS
    343. ISVSN
    344. SVSNP
    345. VSNPG
    346. SNPGD
    347. NPGDL
    348. PGDLV
    349. GDLVL
    350. DLVLR
    351. LVLRD
    352. VLRDV
    353. LRDVV
    354. RDVVV
    355. DVVVE
    356. VVVED
    357. VVEDT
    358. VEDTL
    359. EDTLS
    360. DTLSP
    361. TLSPG
    362. LSPGV
    363. SPGVT
    364. PGVTV
    365. GVTVL
    366. VTVLE
    367. TVLEA
    368. VLEAA
    369. LEAAG
    370. EAAGA
    371. AAGAQ
    372. AGAQI
    373. GAQIS
    374. AQISC
    375. QISCN
    376. ISCNK
    377. SCNKV
    378. CNKVV
    379. NKVVW
    380. KVVWT
    381. VVWTV
    382. VWTVK
    383. WTVKE
    384. TVKEL
    385. VKELN
    386. KELNP
    387. ELNPG
    388. LNPGE
    389. NPGES
    390. PGESL
    391. GESLQ
    392. ESLQY
    393. SLQYK
    394. LQYKV
    395. QYKVL
    396. YKVLV
    397. KVLVR
    398. VLVRA
    399. LVRAQ
    400. VRAQT
    401. RAQTP
    402. AQTPG
    403. QTPGQ
    404. TPGQF
    405. PGQFT
    406. GQFTN
    407. QFTNN
    408. FTNNV
    409. TNNVV
    410. NNVVV
    411. NVVVK
    412. VVVKS
    413. VVKSC
    414. VKSCS
    415. KSCSD
    416. SCSDC
    417. CSDCG
    418. SDCGT
    419. DCGTC
    420. CGTCT
    421. GTCTS
    422. TCTSC
    423. CTSCA
    424. TSCAE
    425. SCAEA
    426. CAEAT
    427. AEATT
    428. EATTY
    429. ATTYW
    430. TTYWK
    431. TYWKG
    432. YWKGV
    433. WKGVA
    434. KGVAA
    435. GVAAT
    436. VAATH
    437. AATHM
    438. ATHMC
    439. THMCV
    440. HMCVV
    441. MCVVD
    442. CVVDT
    443. VVDTC
    444. VDTCD
    445. DTCDP
    446. TCDPV
    447. CDPVC
    448. DPVCV
    449. PVCVG
    450. VCVGE
    451. CVGEN
    452. VGENT
    453. GENTV
    454. ENTVY
    455. NTVYR
    456. TVYRI
    457. VYRIC
    458. YRICV
    459. RICVT
    460. ICVTN
    461. CVTNR
    462. VTNRG
    463. TNRGS
    464. NRGSA
    465. RGSAE
    466. GSAED
    467. SAEDT
    468. AEDTN
    469. EDTNV
    470. DTNVS
    471. TNVSL
    472. NVSLM
    473. VSLML
    474. SLMLK
    475. LMLKF
    476. MLKFS
    477. LKFSK
    478. KFSKE
    479. FSKEL
    480. SKELQ
    481. KELQP
    482. ELQPV
    483. LQPVS
    484. QPVSF
    485. PVSFS
    486. VSFSG
    487. SFSGP
    488. FSGPT
    489. SGPTK
    490. GPTKG
    491. PTKGT
    492. TKGTI
    493. KGTIT
    494. GTITG
    495. TITGN
    496. ITGNT
    497. TGNTV
    498. GNTVV
    499. NTVVF
    500. TVVFD
    501. VVFDS
    502. VFDSL
    503. FDSLP
    504. DSLPR
    505. SLPRL
    506. LPRLG
    507. PRLGS
    508. RLGSK
    509. LGSKE
    510. GSKET
    511. SKETV
    512. KETVE
    513. ETVEF
    514. TVEFS
    515. VEFSV
    516. EFSVT
    517. FSVTL
    518. SVTLK
    519. VTLKA
    520. TLKAV
    521. LKAVS
    522. KAVSA
    523. AVSAG
    524. VSAGD
    525. SAGDA
    526. AGDAR
    527. GDARG
    528. DARGE
    529. ARGEA
    530. RGEAI
    531. GEAIL
    532. EAILS
    533. AILSS
    534. ILSSD
    535. LSSDT
    536. SSDTL
    537. SDTLT
    538. DTLTV
    539. TLTVP
    540. LTVPV
    541. TVPVS
    542. VPVSD
    543. PVSDT
    544. VSDTE
    545. SDTEN
    546. DTENT
    547. TENTH
    548. ENTHI
    549. NTHIY
    5-mer peptides of CT381 (ArtJ, 257 amino acids),
    accession#: NP 219890.1, GI: 15605105 (SEQ ID
    NOS: 550-802)
    550. MCIKR
    551. CIKRK
    552. IKRKK
    553. KRKKT
    554. RKKTW
    555. KKTWI
    556. KTWIA
    557. TWIAF
    558. WIAFL
    559. IAFLA
    560. AFLAV
    561. FLAVV
    562. LAVVC
    563. AVVCS
    564. VVCSF
    565. VCSFC
    566. CSFCL
    567. SFCLT
    568. FCLTG
    569. CLTGC
    570. LTGCL
    571. TGCLK
    572. GCLKE
    573. CLKEG
    574. LKEGG
    575. KEGGD
    576. EGGDS
    577. GGDSN
    578. GDSNS
    579. DSNSE
    580. SNSEK
    581. NSEKF
    582. SEKFI
    583. EKFIV
    584. KFIVG
    585. FIVGT
    586. IVGTN
    587. VGTNA
    588. GTNAT
    589. TNATY
    590. NATYP
    591. ATYPP
    592. TYPPF
    593. YPPFE
    594. PPFEF
    595. PFEFV
    596. FEFVD
    597. EFVDK
    598. FVDKR
    599. VDKRG
    600. DKRGE
    601. KRGEV
    602. RGEVV
    603. GEVVG
    604. EVVGF
    605. VVGFD
    606. VGFDI
    607. GFDID
    608. FDIDL
    609. DIDLA
    610. IDLAR
    611. DLARE
    612. LAREI
    613. AREIS
    614. REISN
    615. EISNK
    616. ISNKL
    617. SNKLG
    618. NKLGK
    619. KLGKT
    620. LGKTL
    621. GKTLD
    622. KTLDV
    623. TLDVR
    624. LDVRE
    625. DVREF
    626. VREFS
    627. REFSF
    628. EFSFD
    629. FSFDA
    630. SFDAL
    631. FDALI
    632. DALIL
    633. ALILN
    634. LILNL
    635. ILNLK
    636. LNLKQ
    637. NLKQH
    638. LKQHR
    639. KQHRI
    640. QHRID
    641. HRIDA
    642. RIDAV
    643. IDAVI
    644. DAVIT
    645. AVITG
    646. VITGM
    647. ITGMS
    648. TGMSI
    649. GMSIT
    650. MSITP
    651. SITPS
    652. ITPSR
    653. TPSRL
    654. PSRLK
    655. SRLKE
    656. RLKEI
    657. LKEIL
    658. KEILM
    659. EILMI
    660. ILMIP
    661. LMIPY
    662. MIPYY
    663. IPYYG
    664. PYYGE
    665. YYGEE
    666. YGEEI
    667. GEEIK
    668. EEIKH
    669. EIKHL
    670. IKHLV
    671. KHLVL
    672. HLVLV
    673. LVLVF
    674. VLVFK
    675. LVFKG
    676. VFKGE
    677. FKGEN
    678. KGENK
    679. GENKH
    680. ENKHP
    681. NKHPL
    682. KHPLP
    683. HPLPL
    684. PLPLT
    685. LPLTQ
    686. PLTQY
    687. LTQYR
    688. TQYRS
    689. QYRSV
    690. YRSVA
    691. RSVAV
    692. SVAVQ
    693. VAVQT
    694. AVQTG
    695. VQTGT
    696. QTGTY
    697. TGTYQ
    698. GTYQE
    699. TYQEA
    700. YQEAY
    701. QEAYL
    702. EAYLQ
    703. AYLQS
    704. YLQSL
    705. LQSLS
    706. QSLSE
    707. SLSEV
    708. LSEVH
    709. SEVHI
    710. EVHIR
    711. VHIRS
    712. HIRSF
    713. IRSFD
    714. RSFDS
    715. SFDST
    716. FDSTL
    717. DSTLE
    718. STLEV
    719. TLEVL
    720. LEVLM
    721. EVLME
    722. VLMEV
    723. LMEVM
    724. MEVMH
    725. EVMHG
    726. VMHGK
    727. MHGKS
    728. HGKSP
    729. GKSPV
    730. KSPVA
    731. SPVAV
    732. PVAVL
    733. VAVLE
    734. AVLEP
    735. VLEPS
    736. LEPSI
    737. EPSIA
    738. PSIAQ
    739. SIAQV
    740. IAQVV
    741. AQVVL
    742. QVVLK
    743. VVLKD
    744. VLKDF
    745. LKDFP
    746. KDFPA
    747. DFPAL
    748. FPALS
    749. PALST
    750. ALSTA
    751. LSTAT
    752. STATI
    753. TATID
    754. ATIDL
    755. TIDLP
    756. IDLPE
    757. DLPED
    758. LPEDQ
    759. PEDQW
    760. EDQWV
    761. DQWVL
    762. QWVLG
    763. WVLGY
    764. VLGYG
    765. LGYGI
    766. GYGIG
    767. YGIGV
    768. GIGVA
    769. IGVAS
    770. GVASD
    771. VASDR
    772. ASDRP
    773. SDRPA
    774. DRPAL
    775. RPALA
    776. PALAL
    777. ALALK
    778. LALKI
    779. ALKIE
    780. LKIEA
    781. KIEAA
    782. IEAAV
    783. EAAVQ
    784. AAVQE
    785. AVQEI
    786. VQEIR
    787. QEIRK
    788. EIRKE
    789. IRKEG
    790. RKEGV
    791. KEGVL
    792. EGVLA
    793. GVLAE
    794. VLAEL
    795. LAELE
    796. AELEQ
    797. ELEQK
    798. LEQKW
    799. EQKWG
    800. QKWGL
    801. KWGLN
    802. WGLNN
    5-mer peptides of CT875 (hypothetical protein, 591
    amino acids), ACCESSION#: NP 219502.1, GI:
    15604718 (SEQ ID NOS: 803-1389)
    803. MSIRG
    804. SIRGV
    805. IRGVG
    806. RGVGG
    807. GVGGN
    808. VGGNG
    809. GNGNS
    810. NGNSR
    811. GNSRI
    812. NSRIP
    813. SRIPS
    814. RIPSH
    815. IPSHN
    816. PSHNG
    817. SHNGD
    818. HNGDG
    819. NGDGS
    820. GDGSN
    821. DGSNR
    822. GSNRR
    823. SNRRS
    824. NRRSQ
    825. RRSQN
    826. RSQNT
    827. SQNTK
    828. QNTKG
    829. NTKGN
    830. TKGNN
    831. KGNNK
    832. GNNKV
    833. NNKVE
    834. NKVED
    835. KVEDR
    836. VEDRV
    837. VEDRV
    838. EDRVC
    839. DRVCS
    840. RVCSL
    841. VCSLY
    842. CSLYS
    843. SLYSS
    844. LYSSR
    845. YSSRS
    846. SSRSN
    847. SRSNE
    848. RSNEN
    849. SNENR
    850. NENRE
    851. ENRES
    852. NRESP
    853. RESPY
    854. ESPYA
    855. SPYAV
    856. PYAVV
    857. YAVVD
    858. AVVDV
    859. VVDVS
    860. VDVSS
    861. DVSSM
    862. VSSMI
    863. SSMIE
    864. SMIES
    865. MIEST
    866. IESTP
    867. ESTPT
    868. STPTS
    869. TPTSG
    870. PTSGE
    871. TSGET
    872. SGETT
    873. GETTR
    874. ETTRA
    875. TTRAS
    876. TRASR
    877. RASRG
    878. ASRGV
    879. SRGVF
    880. RGVFS
    881. GVFSR
    882. VFSRF
    883. FSRFQ
    884. SRFQR
    885. RFQRG
    886. FQRGL
    887. QRGLV
    888. RGLVR
    889. GLVRV
    890. LVRVA
    891. VRVAD
    892. RVADK
    893. VADKV
    894. ADKVR
    895. DKVRR
    896. KVRRA
    897. VRRAV
    898. RRAVQ
    899. RAVQC
    900. AVQCA
    901. VQCAW
    902. QCAWS
    903. CAWSS
    904. AWSSV
    905. WSSVS
    906. SSVST
    907. SVSTR
    908. VSTRR
    909. STRRS
    910. TRRSS
    911. RRSSA
    912. RSSAT
    913. SSATR
    914. SATRA
    915. ATRAA
    916. TRAAE
    917. RAAES
    918. AAESG
    919. AESGS
    920. ESGSS
    921. SGSSS
    922. GSSSR
    923. SSSRT
    924. SSRTA
    925. SRTAR
    926. RTARG
    927. TARGA
    928. ARGAS
    929. RGASS
    930. GASSG
    931. ASSGY
    932. SSGYR
    933. SGYRE
    934. GYREY
    935. YREYS
    936. REYSP
    937. EYSPS
    938. YSPSA
    939. SPSAA
    940. PSAAR
    941. SAARG
    942. AARGL
    943. ARGLR
    944. RGLRL
    945. GLRLM
    946. LRLMF
    947. RLMFT
    948. LMFTD
    949. MFTDF
    950. FTDFW
    951. TDFWR
    952. DFWRT
    953. FWRTR
    954. WRTRV
    955. RTRVL
    956. TRVLR
    957. RVLRQ
    958. VLRQT
    959. LRQTS
    960. RQTSP
    961. QTSPM
    962. TSPMA
    963. SPMAG
    964. PMAGV
    965. MAGVF
    966. AGVFG
    967. GVFGN
    968. VFGNL
    969. FGNLD
    970. GNLDV
    971. NLDVN
    972. LDVNE
    973. DVNEA
    974. VNEAR
    975. NEARL
    976. EARLM
    977. ARLMA
    978. RLMAA
    979. LMAAY
    980. MAAYT
    981. AAYTS
    982. AYTSE
    983. YTSEC
    984. TSECA
    985. SECAD
    986. ECADH
    987. CADHL
    988. ADHLE
    989. DHLEA
    990. HLEAN
    991. LEANK
    992. EANKL
    993. ANKLA
    994. NKLAG
    995. KLAGP
    996. LAGPD
    997. AGPDG
    998. GPDGV
    999. PDGVA
    1000. DGVAA
    1001. GVAAA
    1002. VAAAR
    1003. AAARE
    1004. AAREI
    1005. AREIA
    1006. REIAK
    1007. EIAKR
    1008. IAKRW
    1009. AKRWE
    1010. KRWEQ
    1011. RWEQR
    1012. WEQRV
    1013. EQRVR
    1014. QRVRD
    1015. RVRDL
    1016. VRDLQ
    1017. RDLQD
    1018. DLQDK
    1019. LQDKG
    1020. QDKGA
    1021. DKGAA
    1022. KGAAR
    1023. GAARK
    1024. AARKL
    1025. ARKLL
    1026. RKLLN
    1027. KLLND
    1028. LLNDP
    1029. LNDPL
    1030. NDPLG
    1031. DPLGR
    1032. PLGRR
    1033. LGRRT
    1034. GRRTP
    1035. RRTPN
    1036. RTPNY
    1037. TPNYQ
    1038. PNYQS
    1039. NYQSK
    1040. YQSKN
    1041. QSKNP
    1042. SKNPG
    1043. KNPGE
    1044. NPGEY
    1045. PGEYT
    1046. GEYTV
    1047. EYTVG
    1048. YTVGN
    1049. TVGNS
    1050. VGNSM
    1051. GNSMF
    1052. NSMFY
    1053. SMFYD
    1054. MFYDG
    1055. FYDGP
    1056. YDGPQ
    1057. DGPQV
    1058. GPQVA
    1059. PQVAN
    1060. QVANL
    1061. VANLQ
    1062. ANLQN
    1063. NLQNV
    1064. LQNVD
    1065. QNVDT
    1066. NVDTG
    1067. VDTGF
    1068. DTGFW
    1069. TGFWL
    1070. GFWLD
    1071. FWLDM
    1072. WLDMS
    1073. LDMSN
    1074. DMSNL
    1075. MSNLS
    1076. SNLSD
    1077. NLSDV
    1078. LSDVV
    1079. SDVVL
    1080. DVVLS
    1081. VVLSR
    1082. VLSRE
    1083. LSREI
    1084. SREIQ
    1085. REIQT
    1086. EIQTG
    1087. IQTGL
    1088. QTGLR
    1089. TGLRA
    1090. GLRAR
    1091. LRARA
    1092. RARAT
    1093. ARATL
    1094. RATLE
    1095. ATLEE
    1096. TLEES
    1097. LEESM
    1098. EESMP
    1099. ESMPM
    1100. SMPML
    1101. MPMLE
    1102. PMLEN
    1103. MLENL
    1104. LENLE
    1105. ENLEE
    1106. NLEER
    1107. LEERF
    1108. EERFR
    1109. ERFRR
    1110. RFRRL
    1111. FRRLQ
    1112. RRLQE
    1113. RLQET
    1114. LQETC
    1115. QETCD
    1116. ETCDA
    1117. TCDAA
    1118. CDAAR
    1119. DAART
    1120. AARTE
    1121. ARTEI
    1122. RTEIE
    1123. TEIEE
    1124. EIEES
    1125. IEESG
    1126. EESGW
    1127. ESGWT
    1128. SGWTR
    1129. GWTRE
    1130. WTRES
    1131. TRESA
    1132. RESAS
    1133. ESASR
    1134. SASRM
    1135. ASRME
    1136. SRMEG
    1137. RMEGD
    1138. MEGDE
    1139. EGDEA
    1140. GDEAQ
    1141. DEAQG
    1142. EAQGP
    1143. AQGPS
    1144. QGPSR
    1145. GPSRA
    1146. PSRAQ
    1147. SRAQQ
    1148. RAQQA
    1149. AQQAF
    1150. QQAFQ
    1151. QAFQS
    1152. AFQSF
    1153. FQSFV
    1154. QSFVN
    1155. SFVNE
    1156. FVNEC
    1157. VNECN
    1158. NECNS
    1159. ECNSI
    1160. CNSIE
    1161. NSIEF
    1162. SIEFS
    1163. IEFSF
    1164. EFSFG
    1165. FSFGS
    1166. SFGSF
    1167. FGSFG
    1168. GSFGE
    1169. SFGEH
    1170. FGEHV
    1171. GEHVR
    1172. EHVRV
    1173. HVRVL
    1174. VRVLC
    1175. RVLCA
    1176. VLCAR
    1177. LCARV
    1178. CARVS
    1179. ARVSR
    1180. RVSRG
    1181. VSRGL
    1182. SRGLA
    1183. RGLAA
    1184. GLAAA
    1185. LAAAG
    1186. AAAGE
    1187. AAGEA
    1188. AGEAI
    1189. GEAIR
    1190. EAIRR
    1191. AIRRC
    1192. IRRCF
    1193. RRCFS
    1194. RCFSC
    1195. CFSCC
    1196. FSCCK
    1197. SCCKG
    1198. CCKGS
    1199. CKGST
    1200. KGSTH
    1201. GSTHR
    1202. STHRY
    1203. THRYA
    1204. HRYAP
    1205. RYAPR
    1206. YAPRD
    1207. APRDD
    1208. PRDDL
    1209. RDDLS
    1210. DDLSP
    1211. DLSPE
    1212. LSPEG
    1213. SPEGA
    1214. PEGAS
    1215. EGASL
    1216. GASLA
    1217. ASLAE
    1218. SLAET
    1219. LAETL
    1220. AETLA
    1221. ETLAR
    1222. TLARF
    1223. LARFA
    1224. ARFAD
    1225. RFADD
    1226. FADDM
    1227. ADDMG
    1228. DDMGI
    1229. DMGIE
    1230. MGIER
    1231. GIERG
    1232. IERGA
    1233. ERGAD
    1234. RGADG
    1235. GADGT
    1236. ADGTY
    1237. DGTYD
    1238. GTYDI
    1239. TYDIP
    1240. YDIPL
    1241. DIPLV
    1242. IPLVD
    1243. PLVDD
    1244. LVDDW
    1245. VDDWR
    1246. DDWRR
    1247. DWRRG
    1248. WRRGV
    1249. RRGVP
    1250. RGVPS
    1251. GVPSI
    1252. VPSIE
    1253. PSIEG
    1254. SIEGE
    1255. IEGEG
    1256. EGEGS
    1257. GEGSD
    1258. EGSDS
    1259. GSDSI
    1260. SDSIY
    1261. DSIYE
    1262. SIYEI
    1263. IYEIM
    1264. YEIMM
    1265. EIMMP
    1266. IMMPI
    1267. MMPIY
    1268. MPIYE
    1269. PIYEV
    1270. IYEVM
    1271. YEVMD
    1272. EVMDM
    1273. VMDMD
    1274. MDMDL
    1275. DMDLE
    1276. MDLET
    1277. DLETR
    1278. LETRR
    1279. ETRRS
    1280. TRRSF
    1281. RRSFA
    1282. RSFAV
    1283. SFAVQ
    1284. FAVQQ
    1285. AVQQG
    1286. VQQGH
    1287. QQGHY
    1288. QGHYQ
    1289. GHYQD
    1290. HYQDP
    1291. YQDPR
    1292. QDPRA
    1293. DPRAS
    1294. PRASD
    1295. RASDY
    1296. ASDYD
    1297. SDYDL
    1298. DYDLP
    1299. YDLPR
    1300. DLPRA
    1301. LPRAS
    1302. PRASD
    1303. RASDY
    1304. ASDYD
    1305. SDYDL
    1306. DYDLP
    1307. YDLPR
    1308. DLPRS
    1309. LPRSP
    1310. PRSPY
    1311. RSPYP
    1312. SPYPT
    1313. PYPTP
    1314. YPTPP
    1315. PTPPL
    1316. TPPLP
    1317. PPLPP
    1318. PLPPR
    1319. LPPRY
    1320. PPRYQ
    1321. PRYQL
    1322. RYQLQ
    1323. YQLQN
    1324. QLQNM
    1325. LQNMD
    1326. QNMDV
    1327. NMDVE
    1328. MDVEA
    1329. DVEAG
    1330. VEAGF
    1331. EAGFR
    1332. AGFRE
    1333. GFREA
    1334. FREAV
    1335. REAVY
    1336. EAVYA
    1337. AVYAS
    1338. VYASF
    1339. YASFV
    1340. ASFVA
    1341. SFVAG
    1342. FVAGM
    1343. VAGMY
    1344. AGMYN
    1345. GMYNY
    1346. MYNYV
    1347. YNYVV
    1348. NYVVT
    1349. YVVTQ
    1350. VVTQP
    1351. VTQPQ
    1352. TQPQE
    1353. QPQER
    1354. PQERI
    1355. QERIP
    1356. ERIPN
    1357. RIPNS
    1358. IPNSQ
    1359. PNSQQ
    1360. NSQQV
    1361. SQQVE
    1362. QQVEG
    1363. QVEGI
    1364. VEGIL
    1365. EGILR
    1366. GILRD
    1367. ILRDM
    1368. LRDML
    1369. RDMLT
    1370. DMLTN
    1371. MLTNG
    1372. LTNGS
    1373. TNGSQ
    1374. NGSQT
    1375. GSQTF
    1376. SQTFR
    1377. QTFRD
    1378. TFRDL
    1379. FRDLM
    1380. RDLMR
    1381. DLMRR
    1382. LMRRW
    1383. MRRWN
    1384. RRWNR
    1385. RWNRE
    1386. WNREV
    1387. NREVD
    1388. REVDR
    1389. EVDRE
    5-mer peptides of CT147 (hypothetical protein,
    1449 amino acids), ACCESSION# NP 219650.1, GI:
    15604866 (SEQ ID NOS: 1390-2834)
    1390. MANPS
    1391. ANPST
    1392. NPSTP
    1393. PSTPS
    1394. STPSF
    1395. TPSFN
    1396. PSFNH
    1397. SFNHS
    1398. FNHSD
    1399. NHSDL
    1400. HSDLS
    1401. SDLSL
    1402. DLSLQ
    1403. LSLQG
    1404. SLQGR
    1405. LQGRL
    1406. QGRLR
    1407. GRLRA
    1408. RLRAS
    1409. LRASS
    1410. RASSQ
    1411. ASSQQ
    1412. SSQQC
    1413. SQQCT
    1414. QQCTQ
    1415. QCTQA
    1416. CTQAG
    1417. TQAGQ
    1418. QAGQG
    1419. AGQGD
    1420. GQGDP
    1421. QGDPQ
    1422. GDPQP
    1423. DPQPL
    1424. PQPLS
    1425. QPLSP
    1426. PLSPE
    1427. LSPES
    1428. SPESR
    1429. PESRG
    1430. ESRGL
    1431. SRGLT
    1432. RGLTS
    1433. GLTSN
    1434. LTSNF
    1435. TSNFS
    1436. SNFST
    1437. NFSTR
    1438. FSTRR
    1439. STRRD
    1440. TRRDL
    1441. RRDLI
    1442. RDLID
    1443. DLIDV
    1444. LIDVV
    1445. IDVVE
    1446. DVVEE
    1447. VVEES
    1448. VEESI
    1449. EESIE
    1450. ESIET
    1451. SIETA
    1452. IETAK
    1453. ETAKG
    1454. TAKGS
    1455. AKGSE
    1456. KGSEL
    1457. GSELK
    1458. SELKK
    1459. ELKKL
    1460. LKKLR
    1461. KKLRI
    1462. KLRIY
    1463. LRIYE
    1464. RIYEI
    1465. IYEIA
    1466. YEIAL
    1467. EIALK
    1468. IALKI
    1469. ALKIL
    1470. LKILT
    1471. KILTI
    1472. ILTII
    1473. LTIIG
    1474. TIIGA
    1475. IIGAA
    1476. IGAAI
    1477. GAAIL
    1478. AAILF
    1479. AILFA
    1480. ILFAV
    1481. LFAVP
    1482. FAVPL
    1483. AVPLC
    1484. VPLCM
    1485. PLCML
    1486. LCMLL
    1487. CMLLG
    1488. MLLGV
    1489. LLGVP
    1490. LGVPL
    1491. GVPLW
    1492. VPLWI
    1493. PLWIP
    1494. LWIPI
    1495. WIPIV
    1496. IPIVT
    1497. PIVTC
    1498. IVTCI
    1499. VTCIG
    1500. TCIGV
    1501. CIGVG
    1502. IGVGI
    1503. GVGIA
    1504. VGIAF
    1505. GIAFS
    1506. IAFSI
    1507. AFSIA
    1508. FSIAK
    1509. SIAKG
    1510. IAKGC
    1511. AKGCL
    1512. KGCLQ
    1513. GCLQK
    1514. CLQKR
    1515. LQKRC
    1516. QKRCQ
    1517. KRCQQ
    1518. RCQQI
    1519. CQQIR
    1520. QQIRE
    1521. QIREE
    1522. IREEY
    1523. REEYR
    1524. EEYRA
    1525. EYRAL
    1526. YRALH
    1527. RALHL
    1528. ALHLY
    1529. LHLYH
    1530. HLYHR
    1531. LYHRY
    1532. YHRYL
    1533. HRYLL
    1534. RYLLS
    1535. YLLSN
    1536. LLSNK
    1537. LSNKD
    1538. SNKDS
    1539. NKDSI
    1540. KDSID
    1541. DSIDG
    1542. SIDGT
    1543. IDGTL
    1544. DGTLL
    1545. GTLLS
    1546. TLLSR
    1547. LLSRF
    1548. LSRFD
    1549. SRFDI
    1550. RFDIR
    1551. FDIRF
    1552. DIRFR
    1553. IRFRK
    1554. RFRKA
    1555. FRKAE
    1556. RKAEE
    1557. KAEEK
    1558. AEEKL
    1559. EEKLH
    1560. EKLHG
    1561. KLHGL
    1562. LHGLD
    1563. HGLDL
    1564. GLDLD
    1565. LDLDK
    1566. DLDKR
    1567. LDKRE
    1568. DKREA
    1569. KREAN
    1570. REANH
    1571. EANHP
    1572. ANHPL
    1573. NHPLE
    1574. HPLEA
    1575. PLEAD
    1576. LEADK
    1577. EADKR
    1578. ADKRY
    1579. DKRYD
    1580. KRYDF
    1581. RYDFA
    1582. YDFAG
    1583. DFAGL
    1584. FAGLA
    1585. AGLAH
    1586. GLAHQ
    1587. LAHQR
    1588. AHQRY
    1589. HQRYQ
    1590. QRYQV
    1591. RYQVD
    1592. YQVDA
    1593. QVDAA
    1594. VDAAL
    1595. DAALG
    1596. AALGI
    1597. ALGIS
    1598. LGISS
    1599. GISSS
    1600. ISSSQ
    1601. SSSQD
    1602. SSQDA
    1603. SQDAF
    1604. QDAFW
    1605. DAFWR
    1606. AFWRG
    1607. FWRGV
    1608. WRGVA
    1609. RGVAQ
    1610. GVAQQ
    1611. VAQQV
    1612. AQQVK
    1613. QQVKS
    1614. QVKSV
    1615. VKSVK
    1616. KSVKD
    1617. SVKDD
    1618. VKDDV
    1619. KDDVV
    1620. DDVVL
    1621. DVVLG
    1622. VVLGD
    1623. VLGDK
    1624. LGDKA
    1625. GDKAS
    1626. DKAST
    1627. KASTD
    1628. ASTDL
    1629. STDLY
    1630. TDLYP
    1631. DLYPI
    1632. LYPIA
    1633. YPIAQ
    1634. PIAQQ
    1635. IAQQA
    1636. AQQAL
    1637. QQALQ
    1638. QALQA
    1639. ALQAA
    1640. LQAAG
    1641. QAAGV
    1642. AAGVG
    1643. AGVGF
    1644. GVGFS
    1645. VGFSG
    1646. GFSGA
    1647. FSGAA
    1648. SGAAG
    1649. GAAGK
    1650. AAGKE
    1651. AGKES
    1652. GKESL
    1653. KESLL
    1654. ESLLD
    1655. SLLDL
    1656. LLDLA
    1657. LDLAK
    1658. DLAKS
    1659. LAKSL
    1660. AKSLS
    1661. KSLSS
    1662. SLSSL
    1663. LSSLF
    1664. SSLFA
    1665. SLFAW
    1666. LFAWG
    1667. FAWGS
    1668. AWGSQ
    1669. WGSQV
    1670. GSQVG
    1671. SQVGK
    1672. QVGKD
    1673. VGKDS
    1674. GKDSH
    1675. KDSHE
    1676. DSHEA
    1677. SHEAL
    1678. HEALQ
    1679. EALQQ
    1680. ALQQY
    1681. LQQYQ
    1682. QQYQM
    1683. QYQMR
    1684. YQMRF
    1685. QMRFL
    1686. MRFLS
    1687. RFLSS
    1688. FLSSP
    1689. LSSPI
    1690. SSPIL
    1691. SPILA
    1692. PILAT
    1693. ILATW
    1694. LATWC
    1695. ATWCG
    1696. TWCGA
    1697. WCGAG
    1698. CGAGF
    1699. GAGFS
    1700. AGFSA
    1701. GFSAS
    1702. FSASA
    1703. SASAQ
    1704. ASAQD
    1705. SAQDF
    1706. AQDFV
    1707. QDFVL
    1708. DFVLK
    1709. FVLKG
    1710. VLKGE
    1711. LKGEN
    1712. KGENI
    1713. GENIL
    1714. ENILD
    1715. NILDI
    1716. ILDIA
    1717. LDIAS
    1718. DIASE
    1719. IASEN
    1720. ASENH
    1721. SENHT
    1722. ENHTK
    1723. NHTKM
    1724. HTKMQ
    1725. TKMQN
    1726. KMQNA
    1727. MQNAI
    1728. QNAIK
    1729. NAIKR
    1730. AIKRV
    1731. IKRVQ
    1732. KRVQL
    1733. RVQLV
    1734. VQLVS
    1735. QLVSV
    1736. LVSVL
    1737. VSVLG
    1738. SVLGK
    1739. VLGKM
    1740. LGKMR
    1741. GKMRN
    1742. KMRNW
    1743. MRNWK
    1744. RNWKE
    1745. NWKEK
    1746. WKEKI
    1747. KEKID
    1748. EKIDT
    1749. KIDTL
    1750. IDTLI
    1751. DTLIQ
    1752. TLIQN
    1753. LIQNK
    1754. IQNKN
    1755. QNKNL
    1756. NKNLD
    1757. KNLDQ
    1758. NLDQD
    1759. LDQDS
    1760. DQDSL
    1761. QDSLR
    1762. DSLRK
    1763. SLRKL
    1764. LRKLY
    1765. RKLYQ
    1766. KLYQD
    1767. LYQDI
    1768. YQDIE
    1769. QDIEK
    1770. DIEKA
    1771. IEKAM
    1772. EKAMH
    1773. KAMHK
    1774. AMHKV
    1775. MHKVC
    1776. HKVCI
    1777. KVCIE
    1778. VCIED
    1779. CIEDG
    1780. IEDGV
    1781. EDGVS
    1782. DGVST
    1783. GVSTS
    1784. VSTSI
    1785. STSIQ
    1786. TSIQT
    1787. SIQTQ
    1788. IQTQV
    1789. QTQVR
    1790. TQVRK
    1791. QVRKV
    1792. VRKVT
    1793. RKVTQ
    1794. KVTQK
    1795. VTQKY
    1796. TQKYL
    1797. QKYLR
    1798. KYLRQ
    1799. YLRQD
    1800. LRQDL
    1801. RQDLQ
    1802. QDLQE
    1803. DLQEL
    1804. LQELL
    1805. QELLN
    1806. ELLNK
    1807. LLNKK
    1808. LNKKA
    1809. NKKAP
    1810. KKAPL
    1811. KAPLN
    1812. APLNE
    1813. PLNES
    1814. LNESD
    1815. NESDL
    1816. ESDLS
    1817. SDLSK
    1818. DLSKM
    1819. LSKMQ
    1820. SKMQK
    1821. KMQKG
    1822. MQKGI
    1823. QKGIS
    1824. KGISS
    1825. GISSC
    1826. ISSCA
    1827. SSCAN
    1828. SCANL
    1829. CANLV
    1830. ANLVV
    1831. NLVVT
    1832. LVVTL
    1833. VVTLL
    1834. VTLLE
    1835. TLLES
    1836. LLESQ
    1837. LESQL
    1838. ESQLG
    1839. SQLGT
    1840. QLGTS
    1841. LGTSG
    1842. GTSGQ
    1843. TSGQT
    1844. SGQTP
    1845. GQTPI
    1846. QTPIK
    1847. TPIKE
    1848. PIKEV
    1849. IKEVE
    1850. KEVEE
    1851. EVEES
    1852. VEESI
    1853. EESIY
    1854. ESIYR
    1855. SIYRD
    1856. IYRDL
    1857. YRDLI
    1858. RDLIA
    1859. DLIAT
    1860. LIATI
    1861. IATIL
    1862. ATILQ
    1863. TILQM
    1864. ILQMG
    1865. LQMGS
    1866. QMGSA
    1867. MGSAA
    1868. GSAAG
    1869. SAAGG
    1870. AAGGV
    1871. AGGVT
    1872. GGVTP
    1873. GVTPL
    1874. VTPLV
    1875. TPLVD
    1876. PLVDG
    1877. LVDGV
    1878. VDGVH
    1879. DGVHK
    1880. GVHKA
    1881. VHKAI
    1882. HKAIR
    1883. KAIRE
    1884. AIREG
    1885. IREGK
    1886. REGKA
    1887. EGKAL
    1888. GKALR
    1889. KALRS
    1890. ALRSE
    1891. LRSEL
    1892. RSELS
    1893. SELSR
    1894. ELSRA
    1895. LSRAM
    1896. SRAMS
    1897. RAMSL
    1898. AMSLH
    1899. MSLHP
    1900. SLHPR
    1901. LHPRQ
    1902. HPRQS
    1903. PRQSF
    1904. RQSFL
    1905. QSFLG
    1906. SFLGV
    1907. FLGVQ
    1908. LGVQS
    1909. GVQSA
    1910. VQSAV
    1911. QSAVE
    1912. SAVEK
    1913. AVEKL
    1914. VEKLQ
    1915. EKLQA
    1916. KLQAF
    1917. LQAFI
    1918. QAFIR
    1919. AFIRD
    1920. FIRDP
    1921. IRDPK
    1922. RDPKW
    1923. DPKWG
    1924. PKWGA
    1925. KWGAS
    1926. WGASA
    1927. GASAV
    1928. ASAVH
    1929. SAVHT
    1930. AVHTS
    1931. VHTSA
    1932. HTSAE
    1933. TSAEE
    1934. SAEET
    1935. AEETL
    1936. EETLA
    1937. ETLAQ
    1938. TLAQK
    1939. LAQKQ
    1940. AQKQK
    1941. QKQKF
    1942. KQKFV
    1943. QKFVS
    1944. KFVSD
    1945. FVSDL
    1946. VSDLT
    1947. SDLTR
    1948. DLTRI
    1949. LTRIQ
    1950. TRIQT
    1951. RIQTS
    1952. IQTSL
    1953. QTSLA
    1954. TSLAD
    1955. SLADW
    1956. LADWR
    1957. ADWRE
    1958. DWRER
    1959. WRERY
    1960. RERYG
    1961. ERYGL
    1962. RYGLF
    1963. YGLFE
    1964. GLFEE
    1965. LFEET
    1966. FEETK
    1967. EETKL
    1968. ETKLN
    1969. TKLNH
    1970. KLNHI
    1971. LNHIV
    1972. NHIVS
    1973. HIVST
    1974. IVSTD
    1975. VSTDF
    1976. STDFV
    1977. TDFVS
    1978. DFVSR
    1979. FVSRT
    1980. VSRTE
    1981. SRTEA
    1982. RTEAF
    1983. TEAFL
    1984. EAFLD
    1985. AFLDT
    1986. FLDTL
    1987. LDTLK
    1988. DTLKN
    1989. TLKNV
    1990. LKNVA
    1991. KNVAE
    1992. NVAEA
    1993. VAEAC
    1994. AEACS
    1995. EACSL
    1996. ACSLE
    1997. CSLEQ
    1998. SLEQA
    1999. LEQAV
    2000. EQAVA
    2001. QAVAE
    2002. AVAEL
    2003. VAELK
    2004. AELKD
    2005. ELKDC
    2006. LKDCE
    2007. KDCED
    2008. DCEDA
    2009. CEDAM
    2010. EDAMK
    2011. DAMKA
    2012. AMKAD
    2013. MKADL
    2014. KADLT
    2015. ADLTH
    2016. DLTHV
    2017. LTHVE
    2018. THVEQ
    2019. HVEQK
    2020. VEQKM
    2021. EQKMN
    2022. QKMNP
    2023. KMNPT
    2024. MNPTE
    2025. NPTEI
    2026. PTEIE
    2027. TEIES
    2028. EIESA
    2029. IESAR
    2030. ESARE
    2031. SAREE
    2032. AREEF
    2033. REEFK
    2034. EEFKR
    2035. EFKRL
    2036. FKRLM
    2037. KRLME
    2038. RLMEE
    2039. LMEEL
    2040. MEELA
    2041. EELAG
    2042. ELAGI
    2043. LAGIQ
    2044. AGIQE
    2045. GIQEQ
    2046. IQEQL
    2047. QEQLE
    2048. EQLEQ
    2049. QLEQI
    2050. LEQIA
    2051. EQIAQ
    2052. QIAQP
    2053. IAQPI
    2054. AQPIY
    2055. QPIYE
    2056. PIYEE
    2057. IYEEG
    2058. YEEGV
    2059. EEGVS
    2060. EGVSG
    2061. GVSGE
    2062. VSGER
    2063. SGERL
    2064. GERLL
    2065. ERLLL
    2066. RLLLN
    2067. LLLNT
    2068. LLNTV
    2069. LNTVF
    2070. NTVFF
    2071. TVFFH
    2072. VFFHP
    2073. FFHPE
    2074. FHPEV
    2075. HPEVL
    2076. PEVLR
    2077. EVLRK
    2078. VLRKK
    2079. LRKKV
    2080. RKKVQ
    2081. KKVQA
    2082. KVQAK
    2083. VQAKE
    2084. QAKEA
    2085. AKEAS
    2086. KEASL
    2087. EASLE
    2088. ASLEA
    2089. SLEAL
    2090. LEALT
    2091. EALTK
    2092. ALTKG
    2093. LTKGE
    2094. TKGEQ
    2095. KGEQP
    2096. GEQPS
    2097. EQPSP
    2098. QPSPT
    2099. PSPTK
    2100. SPTKK
    2101. PTKKK
    2102. TKKKT
    2103. KKKTL
    2104. KKTLK
    2105. KTLKQ
    2106. TLKQL
    2107. LKQLS
    2108. KQLSE
    2109. QLSEG
    2110. LSEGC
    2111. SEGCE
    2112. EGCEY
    2113. GCEYF
    2114. CEYFS
    2115. EYFSS
    2116. YFSSL
    2117. FSSLV
    2118. SSLVS
    2119. SLVSK
    2120. LVSKI
    2121. VSKIN
    2122. SKINA
    2123. KINAL
    2124. INALK
    2125. NALKT
    2126. ALKTI
    2127. LKTIL
    2128. KTILE
    2129. TILEG
    2130. ILEGS
    2131. LEGSR
    2132. EGSRG
    2133. GSRGK
    2134. SRGKK
    2135. RGKKI
    2136. GKKIA
    2137. KKIAS
    2138. KIASQ
    2139. IASQD
    2140. ASQDI
    2141. SQDIR
    2142. QDIRQ
    2143. DIRQL
    2144. IRQLI
    2145. RQLIG
    2146. QLIGL
    2147. LIGLT
    2148. IGLTD
    2149. GLTDE
    2150. LTDEL
    2151. TDELA
    2152. DELAL
    2153. ELALE
    2154. LALEL
    2155. ALELS
    2156. LELSS
    2157. ELSSF
    2158. LSSFQ
    2159. SSFQQ
    2160. SFQQD
    2161. FQQDS
    2162. QQDSL
    2163. QDSLE
    2164. DSLES
    2165. SLESL
    2166. LESLL
    2167. ESLLY
    2168. SLLYG
    2169. LLYGL
    2170. LYGLE
    2171. YGLEG
    2172. GLEGL
    2173. LEGLS
    2174. EGLSI
    2175. GLSIP
    2176. LSIPA
    2177. SIPAA
    2178. IPAAS
    2179. PAASI
    2180. AASIE
    2181. ASIEQ
    2182. SIEQK
    2183. IEQKK
    2184. EQKKG
    2185. QKKGS
    2186. KKGSP
    2187. KGSPK
    2188. GSPKS
    2189. SPKSS
    2190. PKSSS
    2191. KSSSI
    2192. SSSIA
    2193. SSIAE
    2194. SIAEK
    2195. IAEKV
    2196. AEKVV
    2197. EKVVY
    2198. KVVYA
    2199. VVYAS
    2200. VYASH
    2201. YASHQ
    2202. ASHQR
    2203. SHQRV
    2204. HQRVH
    2205. QRVHN
    2206. RVHNG
    2207. VHNGV
    2208. HNGVK
    2209. NGVKA
    2210. GVKAK
    2211. VKAKV
    2212. KAKVN
    2213. AKVNR
    2214. KVNRT
    2215. VNRTL
    2216. NRTLE
    2217. RTLEA
    2218. TLEAF
    2219. LEAFS
    2220. EAFSQ
    2221. AFSQL
    2222. FSQLI
    2223. SQLIK
    2224. QLIKG
    2225. LIKGL
    2226. IKGLR
    2227. KGLRG
    2228. GLRGS
    2229. LRGSL
    2230. RGSLR
    2231. GSLRN
    2232. SLRNA
    2233. LRNAM
    2234. RNAMI
    2235. NAMIT
    2236. AMITK
    2237. MITKA
    2238. ITKAV
    2239. TKAVV
    2240. KAVVA
    2241. AVVAA
    2242. VVAAV
    2243. VAAVL
    2244. AAVLS
    2245. AVLSV
    2246. VLSVA
    2247. LSVAF
    2248. SVAFS
    2249. VAFSC
    2250. AFSCL
    2251. FSCLA
    2252. SCLAI
    2253. CLAIA
    2254. LAIAL
    2255. AIALF
    2256. IALFS
    2257. ALFSV
    2258. LFSVQ
    2259. FSVQL
    2260. SVQLT
    2261. VQLTW
    2262. QLTWL
    2263. LTWLP
    2264. TWLPI
    2265. WLPIM
    2266. LPIML
    2267. PIMLC
    2268. IMLCV
    2269. MLCVL
    2270. LCVLA
    2271. CVLAL
    2272. VLALV
    2273. LALVL
    2274. ALVLE
    2275. LVLEA
    2276. VLEAI
    2277. LEAIP
    2278. EAIPS
    2279. AIPSA
    2280. IPSAL
    2281. PSALS
    2282. SALSI
    2283. ALSIW
    2284. LSIWV
    2285. SIWVE
    2286. IWVEK
    2287. WVEKR
    2288. VEKRN
    2289. EKRNW
    2290. KRNWK
    2291. RNWKY
    2292. NWKYE
    2293. WKYEV
    2294. KYEVA
    2295. YEVAS
    2296. EVASL
    2297. VASLA
    2298. ASLAK
    2299. SLAKQ
    2300. LAKQL
    2301. AKQLV
    2302. KQLVS
    2303. QLVSD
    2304. LVSDG
    2305. VSDGR
    2306. SDGRK
    2307. DGRKL
    2308. GRKLP
    2309. RKLPY
    2310. KLPYP
    2311. LPYPD
    2312. PYPDL
    2313. YPDLG
    2314. PDLGD
    2315. DLGDQ
    2316. LGDQN
    2317. GDQNI
    2318. DQNIK
    2319. QNIKH
    2320. NIKHL
    2321. IKHLE
    2322. KHLEK
    2323. HLEKI
    2324. LEKIR
    2325. EKIRD
    2326. KIRDV
    2327. IRDVY
    2328. RDVYG
    2329. DVYGL
    2330. VYGLD
    2331. YGLDG
    2332. GLDGV
    2333. LDGVA
    2334. DGVAE
    2335. GVAEL
    2336. VAELR
    2337. AELRV
    2338. ELRVA
    2339. LRVAE
    2340. RVAEA
    2341. VAEAA
    2342. AEAAL
    2343. EAALL
    2344. AALLG
    2345. ALLGV
    2346. LLGVQ
    2347. LGVQK
    2348. GVQKL
    2349. VQKLP
    2350. QKLPE
    2351. KLPEE
    2352. LPEEQ
    2353. PEEQK
    2354. EEQKQ
    2355. EQKQE
    2356. QKQES
    2357. KQESL
    2358. QESLK
    2359. ESLKS
    2360. SLKSA
    2361. LKSAV
    2362. KSAVK
    2363. SAVKA
    2364. AVKAL
    2365. VKALR
    2366. KALRA
    2367. ALRAD
    2368. LRADA
    2369. RADAK
    2370. ADAKV
    2371. DAKVL
    2372. AKVLN
    2373. KVLNK
    2374. VLNKK
    2375. LNKKF
    2376. NKKFK
    2377. KKFKK
    2378. KFKKL
    2379. FKKLP
    2380. KKLPE
    2381. KLPES
    2382. LPESY
    2383. PESYQ
    2384. ESYQP
    2385. SYQPQ
    2386. YQPQH
    2387. QPQHS
    2388. PQHSE
    2389. QHSEV
    2390. HSEVT
    2391. SEVTG
    2392. EVTGV
    2393. VTGVQ
    2394. TGVQG
    2395. GVQGV
    2396. VQGVT
    2397. QGVTE
    2398. GVTEQ
    2399. VTEQE
    2400. TEQES
    2401. EQESR
    2402. QESRD
    2403. ESRDD
    2404. SRDDV
    2405. RDDVL
    2406. DDVLV
    2407. DVLVA
    2408. VLVAQ
    2409. LVAQD
    2410. VAQDM
    2411. AQDMA
    2412. QDMAA
    2413. DMAAI
    2414. MAAIE
    2415. AAIEE
    2416. AIEEL
    2417. IEELQ
    2418. EELQD
    2419. ELQDQ
    2420. LQDQY
    2421. QDQYH
    2422. DQYHA
    2423. QYHAA
    2424. YHAAC
    2425. HAACL
    2426. AACLQ
    2427. ACLQF
    2428. CLQFE
    2429. LQFES
    2430. QFESV
    2431. FESVS
    2432. ESVST
    2433. SVSTR
    2434. VSTRF
    2435. STRFL
    2436. TRFLA
    2437. RFLAE
    2438. FLAEQ
    2439. LAEQR
    2440. AEQRK
    2441. EQRKA
    2442. QRKAK
    2443. RKAKF
    2444. KAKFL
    2445. AKFLE
    2446. KFLEE
    2447. FLEEL
    2448. LEELL
    2449. EELLV
    2450. ELLVQ
    2451. LLVQK
    2452. LVQKR
    2453. VQKRR
    2454. QKRRD
    2455. KRRDV
    2456. RRDVS
    2457. RDVSH
    2458. DVSHL
    2459. VSHLS
    2460. SHLSH
    2461. HLSHQ
    2462. LSHQE
    2463. SHQEA
    2464. HQEAH
    2465. QEAHY
    2466. EAHYT
    2467. AHYTQ
    2468. HYTQV
    2469. YTQVV
    2470. TQVVS
    2471. QVVSH
    2472. VVSHL
    2473. VSHLK
    2474. SHLKE
    2475. HLKEL
    2476. LKELI
    2477. KELIS
    2478. ELISM
    2479. LISMR
    2480. ISMRK
    2481. SMRKG
    2482. MRKGA
    2483. RKGAS
    2484. KGAST
    2485. GASTQ
    2486. ASTQH
    2487. STQHA
    2488. TQHAS
    2489. QHASK
    2490. HASKE
    2491. ASKEE
    2492. SKEET
    2493. KEEIS
    2494. EEIST
    2495. EISTK
    2496. ISTKM
    2497. STKMR
    2498. TKMRE
    2499. KMREL
    2500. MRELL
    2501. RELLS
    2502. ELLSL
    2503. LLSLD
    2504. LSLDD
    2505. SLDDQ
    2506. LDDQL
    2507. DDQLL
    2508. DQLLK
    2509. QLLKA
    2510. LLKAH
    2511. LKAHT
    2512. KAHTA
    2513. AHTAQ
    2514. HTAQD
    2515. TAQDV
    2516. AQDVN
    2517. QDVNR
    2518. DVNRD
    2519. VNRDN
    2520. NRDNS
    2521. RDNSI
    2522. DNSIN
    2523. NSING
    2524. SINGQ
    2525. INGQL
    2526. NGQLQ
    2527. GQLQQ
    2528. QLQQQ
    2529. LQQQF
    2530. QQQFK
    2531. QQFKK
    2532. QFKKL
    2533. FKKLS
    2534. KKLSE
    2535. KLSEE
    2536. LSEEG
    2537. SEEGS
    2538. EEGSL
    2539. EGSLQ
    2540. GSLQK
    2541. SLQKV
    2542. LQKVK
    2543. QKVKA
    2544. KVKAL
    2545. VKALL
    2546. KALLE
    2547. ALLEL
    2548. LLELN
    2549. LELNM
    2550. ELNMC
    2551. LNMCL
    2552. NMCLG
    2553. MCLGN
    2554. CLGNA
    2555. LGNAG
    2556. GNAGQ
    2557. NAGQT
    2558. AGQTL
    2559. GQTLY
    2560. QTLYH
    2561. TLYHS
    2562. LYHSR
    2563. YHSRL
    2564. HSRLK
    2565. SRLKR
    2566. RLKRE
    2567. LKREV
    2568. KREVF
    2569. REVFE
    2570. EVFEA
    2571. VFEAS
    2572. FEASL
    2573. EASLS
    2574. ASLSG
    2575. SLSGT
    2576. LSGTS
    2577. SGTSR
    2578. GTSRQ
    2579. TSRQL
    2580. SRQLL
    2581. RQLLQ
    2582. QLLQY
    2583. LLQYG
    2584. LQYGE
    2585. QYGED
    2586. YGEDL
    2587. GEDLF
    2588. EDLFA
    2589. DLFAS
    2590. LFASY
    2591. FASYD
    2592. ASYDG
    2593. SYDGS
    2594. YDGSD
    2595. DGSDR
    2596. GSDRS
    2597. SDRSA
    2598. DRSAL
    2599. RSALL
    2600. SALLR
    2601. ALLRF
    2602. LLRFV
    2603. LRFVL
    2604. RFVLG
    2605. FVLGS
    2606. VLGSG
    2607. LGSGY
    2608. GSGYE
    2609. SGYEM
    2610. GYEMI
    2611. YEMIS
    2612. EMISE
    2613. MISEA
    2614. ISEAS
    2615. SEASS
    2616. EASSE
    2617. ASSEL
    2618. SSELK
    2619. SELKS
    2620. ELKSL
    2621. LKSLR
    2622. KSLRK
    2623. SLRKR
    2624. LRKRW
    2625. RKRWK
    2626. KRWKR
    2627. RWKRS
    2628. WKRSA
    2629. KRSAS
    2630. RSASQ
    2631. SASQA
    2632. ASQAA
    2633. SQAAI
    2634. QAAIA
    2635. AAIAP
    2636. AIAPE
    2637. IAPED
    2638. APEDY
    2639. PEDYE
    2640. EDYEK
    2641. DYEKV
    2642. YEKVC
    2643. EKVCR
    2644. KVCRV
    2645. VCRVL
    2646. CRVLE
    2647. RVLER
    2648. VLERF
    2649. LERFL
    2650. ERFLK
    2651. RFLKA
    2652. FLKAR
    2653. LKARD
    2654. KARDS
    2655. ARDSL
    2656. RDSLR
    2657. DSLRP
    2658. SLRPK
    2659. LRPKL
    2660. RPKLG
    2661. PKLGL
    2662. KLGLP
    2663. LGLPL
    2664. GLPLG
    2665. LPLGK
    2666. PLGKS
    2667. LGKSS
    2668. GKSSD
    2669. KSSDA
    2670. SSDAT
    2671. SDATV
    2672. DATVG
    2673. ATVGL
    2674. TVGLQ
    2675. VGLQH
    2676. GLQHQ
    2677. LQHQI
    2678. QHQIR
    2679. HQIRD
    2680. QIRDN
    2681. IRDNQ
    2682. RDNQR
    2683. DNQRV
    2684. NQRVK
    2685. QRVKA
    2686. RVKAR
    2687. VKARV
    2688. KARVT
    2689. ARVTA
    2690. RVTAC
    2691. VTACY
    2692. TACYQ
    2693. ACYQE
    2694. CYQES
    2695. YQESC
    2696. QESCR
    2697. ESCRN
    2698. SCRNV
    2699. CRNVL
    2700. RNVLQ
    2701. NVLQH
    2702. VLQHL
    2703. LQHLE
    2704. QHLED
    2705. HLEDW
    2706. LEDWV
    2707. EDWVR
    2708. DWVRK
    2709. WVRKT
    2710. VRKTR
    2711. RKTRQ
    2712. KTRQE
    2713. TRQES
    2714. RQESA
    2715. QESAE
    2716. ESAEC
    2717. SAECQ
    2718. AECQK
    2719. ECQKV
    2720. CQKVE
    2721. QKVET
    2722. KVETK
    2723. VETKI
    2724. ETKIR
    2725. TKIRE
    2726. KIREF
    2727. IREFC
    2728. REFCQ
    2729. EFCQK
    2730. FCQKA
    2731. CQKAG
    2732. QKAGS
    2733. KAGSK
    2734. AGSKE
    2735. GSKEN
    2736. SKENL
    2737. KENLA
    2738. ENLAE
    2739. NLAES
    2740. LAEST
    2741. AESTE
    2742. ESTEM
    2743. STEML
    2744. TEMLF
    2745. EMLFS
    2746. MLFSS
    2747. LFSSL
    2748. FSSLE
    2749. SSLEE
    2750. SLEED
    2751. LEEDL
    2752. EEDLN
    2753. EDLNK
    2754. DLNKI
    2755. LNKIP
    2756. NKIPL
    2757. KIPLD
    2758. IPLDV
    2759. PLDVL
    2760. LDVLR
    2761. DVLRA
    2762. VLRAI
    2763. LRAIL
    2764. RAILR
    2765. AILRS
    2766. ILRSL
    2767. LRSLS
    2768. RSLSS
    2769. SLSSK
    2770. LSSKV
    2771. SSKVL
    2772. SKVLH
    2773. KVLHI
    2774. VLHIR
    2775. LHIRD
    2776. HIRDQ
    2777. IRDQK
    2778. RDQKL
    2779. DQKLE
    2780. QKLEL
    2781. KLELE
    2782. LELEK
    2783. ELEKL
    2784. LEKLE
    2785. EKLEE
    2786. KLEEQ
    2787. LEEQF
    2788. EEQFA
    2789. EQFAK
    2790. QFAKT
    2791. FAKTN
    2792. AKTNA
    2793. KTNAI
    2794. TNAIV
    2795. NAIVK
    2796. AIVKA
    2797. IVKAK
    2798. VKAKE
    2799. KAKEA
    2800. AKEAE
    2801. KEAEF
    2802. EAEFE
    2803. AEFEK
    2804. EFEKN
    2805. FEKNG
    2806. EKNGE
    2807. KNGEV
    2808. NGEVW
    2809. GEVWH
    2810. EVWHN
    2811. VWHNQ
    2812. WHNQY
    2813. HNQYQ
    2814. NQYQM
    2815. QYQML
    2816. YQMLK
    2817. QMLKS
    2818. MLKSQ
    2819. LKSQM
    2820. KSQME
    2821. SQMEK
    2822. QMEKL
    2823. MEKLE
    2824. EKLES
    2825. KLESQ
    2826. LESQK
    2827. ESQKR
    2828. SQKRR
    2829. QKRRL
    2830. KRRLT
    2831. RRLTD
    2832. RLTDK
    2833. LTDKK
    2834. TDKKE
    5-mer peptides of HSP60 (CT110, 544 amino acids),
    ACCESSION# AAS19616.1, GI: 42541742 (SEQ ID NOS:
    2835-3374)
    2835. MVAKN
    2836. VAKNI
    2837. AKNIK
    2838. KNIKY
    2839. NIKYN
    2840. IKYNE
    2841. KYNEE
    2842. YNEEA
    2843. NEEAR
    2844. EEARK
    2845. EARKK
    2846. ARKKI
    2847. RKKIQ
    2848. KKIQK
    2849. KIQKG
    2850. IQKGV
    2851. QKGVK
    2852. KGVKT
    2853. GVKTL
    2854. VKTLA
    2855. KTLAE
    2856. TLAEA
    2857. LAEAV
    2858. AEAVK
    2859. EAVKV
    2860. AVKVT
    2861. VKVTL
    2862. KVTLG
    2863. VTLGP
    2864. TLGPK
    2865. LGPKG
    2866. GPKGR
    2867. PKGRH
    2868. KGRHV
    2869. GRHVV
    2870. RHVVI
    2871. HVVID
    2872. VVIDK
    2873. VIDKS
    2874. IDKSF
    2875. DKSFG
    2876. KSFGS
    2877. SFGSP
    2878. FGSPQ
    2879. GSPQV
    2880. SPQVT
    2881. PQVTK
    2882. QVTKD
    2883. VTKDG
    2884. TKDGV
    2885. KDGVT
    2886. DGVTV
    2887. GVTVA
    2888. VTVAK
    2889. TVAKE
    2890. VAKEV
    2891. AKEVE
    2892. KEVEL
    2893. EVELA
    2894. VELAD
    2895. ELADK
    2896. LADKH
    2897. ADKHE
    2898. DKHEN
    2899. KHENM
    2900. HENMG
    2901. ENMGA
    2902. NMGAQ
    2903. MGAQM
    2904. GAQMV
    2905. AQMVK
    2906. QMVKE
    2907. MVKEV
    2908. VKEVA
    2909. KEVAS
    2910. EVASK
    2911. VASKT
    2912. ASKTA
    2913. SKTAD
    2914. KTADK
    2915. TADKA
    2916. ADKAG
    2917. DKAGD
    2918. KAGDG
    2919. AGDGT
    2920. GDGTT
    2921. DGTTT
    2922. GTTTA
    2923. TTTAT
    2924. TTATV
    2925. TATVL
    2926. ATVLA
    2927. TVLAE
    2928. VLAEA
    2929. LAEAI
    2930. AEAIY
    2931. EAIYT
    2932. AIYTE
    2933. IYTEG
    2934. YTEGL
    2935. TEGLR
    2936. EGLRN
    2937. GLRNV
    2938. LRNVT
    2939. RNVTA
    2940. NVTAG
    2941. VTAGA
    2942. TAGAN
    2943. AGANP
    2944. GANPM
    2945. ANPMD
    2946. NPMDL
    2947. PMDLK
    2948. MDLKR
    2949. DLKRG
    2950. LKRGI
    2951. KRGID
    2952. RGIDK
    2953. GIDKA
    2954. IDKAV
    2955. DKAVK
    2956. KAVKV
    2957. AVKVV
    2958. VKVVV
    2959. KVVVD
    2960. VVVDQ
    2961. VVDQI
    2962. VDQIR
    2963. DQIRK
    2964. QIRKI
    2965. IRKIS
    2966. RKISK
    2967. KISKP
    2968. ISKPV
    2969. SKPVQ
    2970. KPVQH
    2971. PVQHH
    2972. VQHHK
    2973. QHHKE
    2974. HHKEI
    2975. HKEIA
    2976. KEIAQ
    2977. EIAQV
    2978. IAQVA
    2979. AQVAT
    2980. QVATI
    2981. VATIS
    2982. ATISA
    2983. TISAN
    2984. ISANN
    2985. SANND
    2986. ANNDA
    2987. NNDAE
    2988. NDAEI
    2989. DAEIG
    2990. AEIGN
    2991. EIGNL
    2992. IGNLI
    2993. GNLIA
    2994. NLIAE
    2995. LIAEA
    2996. IAEAM
    2997. AEAME
    2998. EAMEK
    2999. AMEKV
    3000. MEKVG
    3001. EKVGK
    3002. KVGKN
    3003. VGKNG
    3004. GKNGS
    3005. KNGSI
    3006. NGSIT
    3007. GSITV
    3008. SITVE
    3009. ITVEE
    3010. TVEEA
    3011. VEEAK
    3012. EEAKG
    3013. EAKGF
    3014. AKGFE
    3015. KGFET
    3016. GFETV
    3017. FETVL
    3018. ETVLD
    3019. TVLDV
    3020. VLDVV
    3021. LDVVE
    3022. DVVEG
    3023. VVEGM
    3024. VEGMN
    3025. EGMNF
    3026. GMNFN
    3027. MNFNR
    3028. NFNRG
    3029. FNRGY
    3030. NRGYL
    3031. RGYLS
    3032. GYLSS
    3033. YLSSY
    3034. LSSYF
    3035. SSYFA
    3036. SYFAT
    3037. YFATN
    3038. FATNP
    3039. ATNPE
    3040. TNPET
    3041. NPETQ
    3042. PETQE
    3043. ETQEC
    3044. TQECV
    3045. QECVL
    3046. ECVLE
    3047. CVLED
    3048. VLEDA
    3049. LEDAL
    3050. EDALV
    3051. DALVL
    3052. ALVLI
    3053. LVLIY
    3054. VLIYD
    3055. LIYDK
    3056. IYDKK
    3057. YDKKI
    3058. DKKIS
    3059. KKISG
    3060. KISGI
    3061. ISGIK
    3062. SGIKD
    3063. GIKDF
    3064. IKDFL
    3065. KDFLP
    3066. DFLPV
    3067. FLPVL
    3068. LPVLQ
    3069. PVLQQ
    3070. VLQQV
    3071. LQQVA
    3072. QQVAE
    3073. QVAES
    3074. VAESG
    3075. AESGR
    3076. ESGRP
    3077. SGRPL
    3078. GRPLL
    3079. RPLLI
    3080. PLLII
    3081. LLIIA
    3082. LIIAE
    3083. IIAED
    3084. IAEDI
    3085. AEDIE
    3086. EDIEG
    3087. DIEGE
    3088. IEGEA
    3089. EGEAL
    3090. GEALA
    3091. EALAT
    3092. ALATL
    3093. LATLV
    3094. ATLVV
    3095. TLVVN
    3096. LVVNR
    3097. VVNRI
    3098. VNRIR
    3099. NRIRG
    3100. RIRGG
    3101. IRGGF
    3102. RGGFR
    3103. GGFRV
    3104. GFRVC
    3105. FRVCA
    3106. RVCAV
    3107. VCAVK
    3108. CAVKA
    3109. AVKAP
    3110. VKAPG
    3111. KAPGF
    3112. APGFG
    3113. PGFGD
    3114. GFGDR
    3115. FGDRR
    3116. GDRRK
    3117. DRRKA
    3118. RRKAM
    3119. RKAML
    3120. KAMLE
    3121. AMLED
    3122. MLEDI
    3123. LEDIA
    3124. EDIAI
    3125. DIAIL
    3126. IAILT
    3127. AILTG
    3128. ILTGG
    3129. LTGGQ
    3130. TGGQL
    3131. GGQLI
    3132. GQLIS
    3133. QLISE
    3134. LISEE
    3135. ISEEL
    3136. SEELG
    3137. EELGM
    3138. ELGMK
    3139. LGMKL
    3140. GMKLE
    3141. MKLEN
    3142. KLENA
    3143. LENAN
    3144. ENANL
    3145. NANLA
    3146. ANLAM
    3147. NLAML
    3148. LAMLG
    3149. AMLGK
    3150. MLGKA
    3151. LGKAK
    3152. GKAKK
    3153. KAKKV
    3154. AKKVI
    3155. KKVIV
    3156. KVIVS
    3157. VIVSK
    3158. IVSKE
    3159. VSKED
    3160. SKEDT
    3161. KEDTT
    3162. EDTTI
    3163. DTTIV
    3164. TTIVE
    3165. TIVEG
    3166. IVEGM
    3167. VEGMG
    3168. EGMGE
    3169. GMGEK
    3170. MGEKE
    3171. GEKEA
    3172. EKEAL
    3173. KEALE
    3174. EALEA
    3175. ALEAR
    3176. LEARC
    3177. EARCE
    3178. ARCES
    3179. RCESI
    3180. CESIK
    3181. ESIKK
    3182. SIKKQ
    3183. IKKQI
    3184. KKQIE
    3185. KQIED
    3186. QIEDS
    3187. IEDSS
    3188. EDSSS
    3189. DSSSD
    3190. SSSDY
    3191. SSDYD
    3192. SDYDK
    3193. DYDKE
    3194. YDKEK
    3195. DKEKL
    3196. KEKLQ
    3197. EKLQE
    3198. KLQER
    3199. LQERL
    3200. QERLA
    3201. ERLAK
    3202. RLAKL
    3203. LAKLS
    3204. AKLSG
    3205. KLSGG
    3206. LSGGV
    3207. SGGVA
    3208. GGVAV
    3209. GVAVI
    3210. VAVIR
    3211. AVIRV
    3212. VIRVG
    3213. IRVGA
    3214. RVGAA
    3215. VGAAT
    3216. GAATE
    3217. AATEI
    3218. ATEIE
    3219. TEIEM
    3220. EIEMK
    3221. IEMKE
    3222. EMKEK
    3223. MKEKK
    3224. KEKKD
    3225. EKKDR
    3226. KKDRV
    3227. KDRVD
    3228. DRVDD
    3229. RVDDA
    3230. VDDAQ
    3231. DDAQH
    3232. DAQHA
    3233. AQHAT
    3234. QHATI
    3235. HATIA
    3236. ATIAA
    3237. TIAAV
    3238. IAAVE
    3239. AAVEE
    3240. AVEEG
    3241. VEEGI
    3242. EEGIL
    3243. EGILP
    3244. GILPG
    3245. ILPGG
    3246. LPGGG
    3247. PGGGT
    3248. GGGTA
    3249. GGTAL
    3250. GTALI
    3251. TALIR
    3252. ALIRC
    3253. LIRCI
    3254. IRCIP
    3255. RCIPT
    3256. CIPTL
    3257. IPTLE
    3258. PTLEA
    3259. TLEAF
    3260. LEAFL
    3261. EAFLP
    3262. AFLPM
    3263. FLPML
    3264. LPMLT
    3265. PMLTN
    3266. MLTNE
    3267. LTNED
    3268. TNEDE
    3269. NEDEQ
    3270. EDEQI
    3271. DEQIG
    3272. EQIGA
    3273. QIGAR
    3274. IGARI
    3275. GARIV
    3276. ARIVL
    3277. RIVLK
    3278. IVLKA
    3279. VLKAL
    3280. LKALS
    3281. KALSA
    3282. ALSAP
    3283. LSAPL
    3284. SAPLK
    3285. APLKQ
    3286. PLKQI
    3287. LKQIA
    3288. KQIAA
    3289. QIAAN
    3290. IAANA
    3291. AANAG
    3292. ANAGK
    3293. NAGKE
    3294. AGKEG
    3295. GKEGA
    3296. KEGAI
    3297. EGAII
    3298. GAIIF
    3299. AIIFQ
    3300. IIFQQ
    3301. IFQQV
    3302. FQQVM
    3303. QQVMS
    3304. QVMSR
    3305. VMSRS
    3306. MSRSA
    3307. SRSAN
    3308. RSANE
    3309. SANEG
    3310. ANEGY
    3311. NEGYD
    3312. EGYDA
    3313. GYDAL
    3314. YDALR
    3315. DALRD
    3316. ALRDA
    3317. LRDAY
    3318. RDAYT
    3319. DAYTD
    3320. AYTDM
    3321. YTDML
    3322. TDMLE
    3323. DMLEA
    3324. MLEAG
    3325. LEAGI
    3326. EAGIL
    3327. AGILD
    3328. GILDP
    3329. ILDPA
    3330. LDPAK
    3331. DPAKV
    3332. PAKVT
    3333. AKVTR
    3334. KVTRS
    3335. VTRSA
    3336. TRSAL
    3337. RSALE
    3338. SALES
    3339. ALESA
    3340. LESAA
    3341. ESAAS
    3342. SAASV
    3343. AASVA
    3344. ASVAG
    3345. SVAGL
    3346. VAGLL
    3347. AGLLL
    3348. GLLLT
    3349. LLLTT
    3350. LLTTE
    3351. LTTEA
    3352. TTEAL
    3353. TEALI
    3354. EALIA
    3355. ALIAE
    3356. LIAEI
    3357. IAEIP
    3358. AEIPE
    3359. EIPEE
    3360. IPEEK
    3361. PEEKP
    3362. EEKPA
    3363. EKPAA
    3364. KPAAA
    3365. PAAAP
    3366. AAAPA
    3367. AAPAM
    3368. APAMP
    3369. PAMPG
    3370. AMPGA
    3371. MPGAG
    3372. PGAGM
    3373. GAGMD
    3374. AGMDY
    5-mer peptides of CT376 (malate dehydrogenase, 326
    amino acids) ACCESSION# NP 219885.1, GI: 15605100
    (SEQ ID NOS: 3375-3696)
    3375. MVSQT
    3376. VSQTV
    3377. SQTVS
    3378. QTVSV
    3379. TVSVA
    3380. VSVAV
    3381. SVAVT
    3382. VAVTG
    3383. AVTGG
    3384. VTGGT
    3385. TGGTG
    3386. GGTGQ
    3387. GTGQI
    3388. TGQIA
    3389. GQIAY
    3390. QIAYS
    3391. IAYSF
    3392. AYSFL
    3393. YSFLF
    3394. SFLFS
    3395. FLFSL
    3396. LFSLA
    3397. FSLAH
    3398. SLAHG
    3399. LAHGD
    3400. AHGDV
    3401. HGDVF
    3402. GDVFG
    3403. DVFGL
    3404. VFGLD
    3405. FGLDC
    3406. GLDCG
    3407. LDCGI
    3408. DCGID
    3409. CGIDL
    3410. GIDLR
    3411. IDLRI
    3412. DLRIY
    3413. LRIYD
    3414. RIYDI
    3415. IYDIP
    3416. YDIPG
    3417. DIPGT
    3418. IPGTE
    3419. PGTER
    3420. GTERA
    3421. TERAL
    3422. ERALS
    3423. RALSG
    3424. ALSGV
    3425. LSGVR
    3426. SGVRM
    3427. GVRME
    3428. VRMEL
    3429. RMELD
    3430. MELDD
    3431. ELDDG
    3432. LDDGA
    3433. DDGAF
    3434. DGAFP
    3435. GAFPL
    3436. AFPLL
    3437. FPLLQ
    3438. PLLQR
    3439. LLQRV
    3440. LQRVQ
    3441. QRVQV
    3442. RVQVT
    3443. VQVTT
    3444. QVTTS
    3445. VTTSL
    3446. TTSLH
    3447. TSLHD
    3448. SLHDA
    3449. LHDAF
    3450. HDAFD
    3451. DAFDG
    3452. AFDGI
    3453. FDGID
    3454. DGIDA
    3455. GIDAA
    3456. IDAAF
    3457. DAAFL
    3458. AAFLI
    3459. AFLIG
    3460. FLIGS
    3461. LIGSV
    3462. IGSVP
    3463. GSVPR
    3464. SVPRG
    3465. VPRGP
    3466. PRGPG
    3467. RGPGM
    3468. GPGME
    3469. PGMER
    3470. GMERR
    3471. MERRD
    3472. ERRDL
    3473. RRDLL
    3474. RDLLK
    3475. DLLKK
    3476. LLKKN
    3477. LKKNG
    3478. KKNGE
    3479. KNGEI
    3480. NGEIF
    3481. GEIFA
    3482. EIFAT
    3483. IFATQ
    3484. FATQG
    3485. ATQGK
    3486. TQGKA
    3487. QGKAL
    3488. GKALN
    3489. KALNT
    3490. ALNTT
    3491. LNTTA
    3492. NTTAK
    3493. TTAKR
    3494. TAKRD
    3495. AKRDA
    3496. KRDAK
    3497. RDAKI
    3498. DAKIF
    3499. AKIFV
    3500. KIFVV
    3501. IFVVG
    3502. FVVGN
    3503. VVGNP
    3504. VGNPV
    3505. GNPVN
    3506. NPVNT
    3507. PVNTN
    3508. VNTNC
    3509. NTNCW
    3510. TNCWI
    3511. NCWIA
    3512. CWIAM
    3513. WIAMN
    3514. IAMNH
    3515. AMNHA
    3516. MNHAP
    3517. NHAPR
    3518. HAPRL
    3519. APRLL
    3520. PRLLR
    3521. RLLRK
    3522. LLRKN
    3523. LRKNF
    3524. RKNFH
    3525. KNFHA
    3526. NFHAM
    3527. FHAML
    3528. HAMLR
    3529. AMLRL
    3530. MLRLD
    3531. LRLDQ
    3532. RLDQN
    3533. LDQNR
    3534. DQNRM
    3535. QNRMH
    3536. NRMHS
    3537. RMHSM
    3538. MHSML
    3539. HSMLS
    3540. SMLSH
    3541. MLSHR
    3542. LSHRA
    3543. SHRAE
    3544. HRAEV
    3545. RAEVP
    3546. AEVPL
    3547. EVPLS
    3548. VPLSA
    3549. PLSAV
    3550. LSAVS
    3551. SAVSQ
    3552. AVSQV
    3553. VSQVV
    3554. SQVVV
    3555. QVVVW
    3556. VVVWG
    3557. VVWGN
    3558. VWGNH
    3559. WGNHS
    3560. GNHSA
    3561. NHSAK
    3562. HSAKQ
    3563. SAKQV
    3564. AKQVP
    3565. KQVPD
    3566. QVPDF
    3567. VPDFT
    3568. PDFTQ
    3569. DFTQA
    3570. FTQAL
    3571. TQALI
    3572. QALIN
    3573. ALIND
    3574. LINDR
    3575. INDRP
    3576. NDRPI
    3577. DRPIA
    3578. RPIAE
    3579. PIAET
    3580. IAETI
    3581. AETIA
    3582. ETIAD
    3583. TIADR
    3584. IADRD
    3585. ADRDW
    3586. DRDWL
    3587. RDWLE
    3588. DWLEN
    3589. WLENI
    3590. LENIM
    3591. ENIMV
    3592. NIMVP
    3593. IMVPS
    3594. MVPSV
    3595. VPSVQ
    3596. PSVQS
    3597. SVQSR
    3598. VQSRG
    3599. QSRGS
    3600. SRGSA
    3601. RGSAV
    3602. GSAVI
    3603. SAVIE
    3604. AVIEA
    3605. VIEAR
    3606. IEARG
    3607. EARGK
    3608. ARGKS
    3609. RGKSS
    3610. GKSSA
    3611. KSSAA
    3612. SSAAS
    3613. SAASA
    3614. AASAA
    3615. ASAAR
    3616. SAARA
    3617. AARAL
    3618. ARALA
    3619. RALAE
    3620. ALAEA
    3621. LAEAA
    3622. AEAAR
    3623. EAARS
    3624. AARSI
    3625. ARSIY
    3626. RSIYQ
    3627. SIYQP
    3628. IYQPK
    3629. YQPKE
    3630. QPKEG
    3631. PKEGE
    3632. KEGEW
    3633. EGEWF
    3634. GEWFS
    3635. EWFSS
    3636. WFSSG
    3637. FSSGV
    3638. SSGVC
    3639. SGVCS
    3640. GVCSD
    3641. VCSDH
    3642. CSDHN
    3643. SDHNP
    3644. DHNPY
    3645. HNPYG
    3646. NPYGL
    3647. PYGLP
    3648. YGLPE
    3649. GLPED
    3650. LPEDL
    3651. PEDLI
    3652. EDLIF
    3653. DLIFG
    3654. LIFGF
    3655. IFGFP
    3656. FGFPC
    3657. GFPCR
    3658. FPCRM
    3659. PCRML
    3660. CRMLA
    3661. RMLAT
    3662. MLATG
    3663. LATGE
    3664. ATGEY
    3665. TGEYE
    3666. GEYEV
    3667. EYEVI
    3668. YEVIP
    3669. EVIPR
    3670. VIPRL
    3671. IPRLP
    3672. PRLPW
    3673. RLPWD
    3674. LPWDA
    3675. PWDAF
    3676. WDAFI
    3677. DAFIR
    3678. AFIRG
    3679. FIRGK
    3680. IRGKM
    3681. RGKMQ
    3682. GKMQI
    3683. KMQIS
    3684. MQISL
    3685. QISLD
    3686. ISLDE
    3687. SLDEI
    3688. LDEIL
    3689. DEILQ
    3690. EILQE
    3691. ILQEK
    3692. LQEKA
    3693. QEKAS
    3694. EKASV
    3695. KASVS
    3696. ASVSL
    5-mer peptides of CT557 (dihydrolipoamide
    dehydrogenase, 465 amino acids), ACCESSION# NP
    220072.1, GI: 15605286 (SEQ ID NOS: 3697-4018)
    3697. MVSQT
    3698. VSQTV
    3699. SQTVS
    3700. QTVSV
    3701. TVSVA
    3702. VSVAV
    3703. SVAVT
    3704. VAVTG
    3705. AVTGG
    3706. VTGGT
    3707. TGGTG
    3708. GGTGQ
    3709. GTGQI
    3710. TGQIA
    3711. GQIAY
    3712. QIAYS
    3713. IAYSF
    3714. AYSFL
    3715. YSFLF
    3716. SFLFS
    3717. FLFSL
    3718. LFSLA
    3719. FSLAH
    3720. SLAHG
    3721. LAHGD
    3722. AHGDV
    3723. HGDVF
    3724. GDVFG
    3725. DVFGL
    3726. VFGLD
    3727. FGLDC
    3728. GLDCG
    3729. LDCGI
    3730. DCGID
    3731. CGIDL
    3732. GIDLR
    3733. IDLRI
    3734. DLRIY
    3735. LRIYD
    3736. RIYDI
    3737. IYDIP
    3738. YDIPG
    3739. DIPGT
    3740. IPGTE
    3741. PGTER
    3742. GTERA
    3743. TERAL
    3744. ERALS
    3745. RALSG
    3746. ALSGV
    3747. LSGVR
    3748. SGVRM
    3749. GVRME
    3750. VRMEL
    3751. RMELD
    3752. MELDD
    3753. ELDDG
    3754. LDDGA
    3755. DDGAF
    3756. DGAFP
    3757. GAFPL
    3758. AFPLL
    3759. FPLLQ
    3760. PLLQR
    3761. LLQRV
    3762. LQRVQ
    3763. QRVQV
    3764. RVQVT
    3765. VQVTT
    3766. QVTTS
    3767. VTTSL
    3768. TTSLH
    3769. TSLHD
    3770. SLHDA
    3771. LHDAF
    3772. HDAFD
    3773. DAFDG
    3774. AFDGI
    3775. FDGID
    3776. DGIDA
    3777. GIDAA
    3778. IDAAF
    3779. DAAFL
    3780. AAFLI
    3781. AFLIG
    3782. FLIGS
    3783. LIGSV
    3784. IGSVP
    3785. GSVPR
    3786. SVPRG
    3787. VPRGP
    3788. PRGPG
    3789. RGPGM
    3790. GPGME
    3791. PGMER
    3792. GMERR
    3793. MERRD
    3794. ERRDL
    3795. RRDLL
    3796. RDLLK
    3797. DLLKK
    3798. LLKKN
    3799. LKKNG
    3800. KKNGE
    3801. KNGEI
    3802. NGEIF
    3803. GEIFA
    3804. EIFAT
    3805. IFATQ
    3806. FATQG
    3807. ATQGK
    3808. TQGKA
    3809. QGKAL
    3810. GKALN
    3811. KALNT
    3812. ALNTT
    3813. LNTTA
    3814. NTTAK
    3815. TTAKR
    3816. TAKRD
    3817. AKRDA
    3818. KRDAK
    3819. RDAKI
    3820. DAKIF
    3821. AKIFV
    3822. KIFVV
    3823. IFVVG
    3824. FVVGN
    3825. VVGNP
    3826. VGNPV
    3827. GNPVN
    3828. NPVNT
    3829. PVNTN
    3830. VNTNC
    3831. NTNCW
    3832. TNCWI
    3833. NCWIA
    3834. CWIAM
    3835. WIAMN
    3836. IAMNH
    3837. AMNHA
    3838. MNHAP
    3839. NHAPR
    3840. HAPRL
    3841. APRLL
    3842. PRLLR
    3843. RLLRK
    3844. LLRKN
    3845. LRKNF
    3846. RKNFH
    3847. KNFHA
    3848. NFHAM
    3849. FHAML
    3850. HAMLR
    3851. AMLRL
    3852. MLRLD
    3853. LRLDQ
    3854. RLDQN
    3855. LDQNR
    3856. DQNRM
    3857. QNRMH
    3858. NRMHS
    3859. RMHSM
    3860. MHSML
    3861. HSMLS
    3862. SMLSH
    3863. MLSHR
    3864. LSHRA
    3865. SHRAE
    3866. HRAEV
    3867. RAEVP
    3868. AEVPL
    3869. EVPLS
    3870. VPLSA
    3871. PLSAV
    3872. LSAVS
    3873. SAVSQ
    3874. AVSQV
    3875. VSQVV
    3876. SQVVV
    3877. QVVVW
    3878. VVVWG
    3879. VVWGN
    3880. VWGNH
    3881. WGNHS
    3882. GNHSA
    3883. NHSAK
    3884. HSAKQ
    3885. SAKQV
    3886. AKQVP
    3887. KQVPD
    3888. QVPDF
    3889. VPDFT
    3890. PDFTQ
    3891. DFTQA
    3892. FTQAL
    3893. TQALI
    3894. QALIN
    3895. ALIND
    3896. LINDR
    3897. INDRP
    3898. NDRPI
    3899. DRPIA
    3900. RPIAE
    3901. PIAET
    3902. IAETI
    3903. AETIA
    3904. ETIAD
    3905. TIADR
    3906. IADRD
    3907. ADRDW
    3908. DRDWL
    3909. RDWLE
    3910. DWLEN
    3911. WLENI
    3912. LENIM
    3913. ENIMV
    3914. NIMVP
    3915. IMVPS
    3916. MVPSV
    3917. VPSVQ
    3918. PSVQS
    3919. SVQSR
    3920. VQSRG
    3921. QSRGS
    3922. SRGSA
    3923. RGSAV
    3924. GSAVI
    3925. SAVIE
    3926. AVIEA
    3927. VIEAR
    3928. IEARG
    3929. EARGK
    3930. ARGKS
    3931. RGKSS
    3932. GKSSA
    3933. KSSAA
    3934. SSAAS
    3935. SAASA
    3936. AASAA
    3937. ASAAR
    3938. SAARA
    3939. AARAL
    3940. ARALA
    3941. RALAE
    3942. ALAEA
    3943. LAEAA
    3944. AEAAR
    3945. EAARS
    3946. AARSI
    3947. ARSIY
    3948. RSIYQ
    3949. SIYQP
    3950. IYQPK
    3951. YQPKE
    3952. QPKEG
    3953. PKEGE
    3954. KEGEW
    3955. EGEWF
    3956. GEWFS
    3957. EWFSS
    3958. WFSSG
    3959. FSSGV
    3960. SSGVC
    3961. SGVCS
    3962. GVCSD
    3963. VCSDH
    3964. CSDHN
    3965. SDHNP
    3966. DHNPY
    3967. HNPYG
    3968. NPYGL
    3969. PYGLP
    3970. YGLPE
    3971. GLPED
    3972. LPEDL
    3973. PEDLI
    3974. EDLIF
    3975. DLIFG
    3976. LIEGE
    3977. IFGFP
    3978. FGFPC
    3979. GFPCR
    3980. FPCRM
    3981. PCRML
    3982. CRMLA
    3983. RMLAT
    3984. MLATG
    3985. LATGE
    3986. ATGEY
    3987. TGEYE
    3988. GEYEV
    3989. EYEVI
    3990. YEVIP
    3991. EVIPR
    3992. VIPRL
    3993. IPRLP
    3994. PRLPW
    3995. RLPWD
    3996. LPWDA
    3997. PWDAF
    3998. WDAFI
    3999. DAFIR
    4000. AFIRG
    4001. FIRGK
    4002. IRGKM
    4003. RGKMQ
    4004. GKMQI
    4005. KMQIS
    4006. MQISL
    4007. QISLD
    4008. ISLDE
    4009. SLDEI
    4010. LDEIL
    4011. DEILQ
    4012. EILQE
    4013. ILQEK
    4014. LQEKA
    4015. QEKAS
    4016. EKASV
    4017. KASVS
    4018. ASVSL
    5-mer peptides of CT858 (CPAF, total of 609 amino
    acids), ACCESSION# AAC68456.1, GI: 3329332
    (SEQ ID NOS: 4019-4623)
    4019. MGFWR
    4020. GFWRT
    4021. FWRTS
    4022. WRTSI
    4023. RTSIM
    4024. TSIMK
    4025. SIMKM
    4026. IMKMN
    4027. MKMNR
    4028. KMNRI
    4029. MNRIW
    4030. NRIWL
    4031. RIWLL
    4032. IWLLL
    4033. WLLLL
    4034. LLLLT
    4035. LLLTF
    4036. LLTFS
    4037. LTFSS
    4038. TFSSA
    4039. FSSAI
    4040. SSAIH
    4041. SAIHS
    4042. AIHSP
    4043. IHSPV
    4044. HSPVQ
    4045. SPVQG
    4046. PVQGE
    4047. VQGES
    4048. QGESL
    4049. GESLV
    4050. ESLVC
    4051. SLVCK
    4052. LVCKN
    4053. VCKNA
    4054. CKNAL
    4055. KNALQ
    4056. NALQD
    4057. ALQDL
    4058. LQDLS
    4059. QDLSF
    4060. DLSFL
    4061. LSFLE
    4062. SFLEH
    4063. FLEHL
    4064. LEHLL
    4065. EHLLQ
    4066. HLLQV
    4067. LLQVK
    4068. LQVKY
    4069. QVKYA
    4070. VKYAP
    4071. KYAPK
    4072. YAPKT
    4073. APKTW
    4074. PKTWK
    4075. KTWKE
    4076. TWKEQ
    4077. WKEQY
    4078. KEQYL
    4079. EQYLG
    4080. QYLGW
    4081. YLGWD
    4082. LGWDL
    4083. GWDLV
    4084. WDLVQ
    4085. DLVQS
    4086. LVQSS
    4087. VQSSV
    4088. QSSVS
    4089. SSVSA
    4090. SVSAQ
    4091. VSAQQ
    4092. SAQQK
    4093. AQQKL
    4094. QQKLR
    4095. QKLRT
    4096. KLRTQ
    4097. LRTQE
    4098. RTQEN
    4099. TQENP
    4100. QENPS
    4101. ENPST
    4102. NPSTS
    4103. PSTSF
    4104. STSFC
    4105. TSFCQ
    4106. SFCQQ
    4107. FCQQV
    4108. CQQVL
    4109. QQVLA
    4110. QVLAD
    4111. VLADF
    4112. LADFI
    4113. ADFIG
    4114. DFIGG
    4115. FIGGL
    4116. IGGLN
    4117. GGLND
    4118. GLNDF
    4119. LNDFH
    4120. NDFHA
    4121. DFHAG
    4122. FHAGV
    4123. HAGVT
    4124. AGVTF
    4125. GVTFF
    4126. VTFFA
    4127. TFFAI
    4128. FFAIE
    4129. FATES
    4130. AIESA
    4131. IESAY
    4132. ESAYL
    4133. SAYLP
    4134. AYLPY
    4135. YLPYT
    4136. LPYTV
    4137. PYTVQ
    4138. YTVQK
    4139. TVQKS
    4140. VQKSS
    4141. QKSSD
    4142. KSSDG
    4143. SSDGR
    4144. SDGRF
    4145. DGRFY
    4146. GRFYF
    4147. RFYFV
    4148. FYFVD
    4149. YFVDI
    4150. FVDIM
    4151. VDIMT
    4152. DIMTF
    4153. IMTFS
    4154. MTFSS
    4155. TFSSE
    4156. FSSEI
    4157. SSEIR
    4158. SEIRV
    4159. EIRVG
    4160. IRVGD
    4161. RVGDE
    4162. VGDEL
    4163. GDELL
    4164. DELLE
    4165. ELLEV
    4166. LLEVD
    4167. LEVDG
    4168. EVDGA
    4169. VDGAP
    4170. DGAPV
    4171. GAPVQ
    4172. APVQD
    4173. PVQDV
    4174. VQDVL
    4175. QDVLA
    4176. DVLAT
    4177. VLATL
    4178. LATLY
    4179. ATLYG
    4180. TLYGS
    4181. LYGSN
    4182. YGSNH
    4183. GSNHK
    4184. SNHKG
    4185. NHKGT
    4186. HKGTA
    4187. KGTAA
    4188. GTAAE
    4189. TAAEE
    4190. AAEES
    4191. AEESA
    4192. EESAA
    4193. ESAAL
    4194. SAALR
    4195. AALRT
    4196. ALRTL
    4197. LRTLF
    4198. RTLFS
    4199. TLFSR
    4200. LFSRM
    4201. FSRMA
    4202. SRMAS
    4203. RMASL
    4204. MASLG
    4205. ASLGH
    4206. SLGHK
    4207. LGHKV
    4208. GHKVP
    4209. HKVPS
    4210. KVPSG
    4211. VPSGR
    4212. PSGRT
    4213. SGRTT
    4214. GRTTL
    4215. RTTLK
    4216. TTLKI
    4217. TLKIR
    4218. LKIRR
    4219. KIRRP
    4220. IRRPF
    4221. RRPFG
    4222. RPFGT
    4223. PFGTT
    4224. FGTTR
    4225. GTTRE
    4226. TTREV
    4227. TREVR
    4228. REVRV
    4229. EVRVK
    4230. VRVKW
    4231. RVKWR
    4232. VKWRY
    4233. KWRYV
    4234. WRYVP
    4235. RYVPE
    4236. YVPEG
    4237. VPEGV
    4238. PEGVG
    4239. EGVGD
    4240. GVGDL
    4241. VGDLA
    4242. GDLAT
    4243. DLATI
    4244. LATIA
    4245. ATIAP
    4246. TIAPS
    4247. IAPSI
    4248. APSIR
    4249. PSIRA
    4250. STRAP
    4251. IRAPQ
    4252. RAPQL
    4253. APQLQ
    4254. PQLQK
    4255. QLQKS
    4256. LQKSM
    4257. QKSMR
    4258. KSMRS
    4259. SMRSF
    4260. MRSFF
    4261. RSFFP
    4262. SFFPK
    4263. FFPKK
    4264. FPKKD
    4265. PKKDD
    4266. KKDDA
    4267. KDDAF
    4268. DDAFH
    4269. DAFHR
    4270. AFHRS
    4271. FHRSS
    4272. HRSSS
    4273. RSSSL
    4274. SSSLF
    4275. SSLFY
    4276. SLFYS
    4277. LFYSP
    4278. FYSPM
    4279. YSPMV
    4280. SPMVP
    4281. PMVPH
    4282. MVPHF
    4283. VPHFW
    4284. PHFWA
    4285. HFWAE
    4286. FWAEL
    4287. WAELR
    4288. AELRN
    4289. ELRNH
    4290. LRNHY
    4291. RNHYA
    4292. NHYAT
    4293. HYATS
    4294. YATSG
    4295. ATSGL
    4296. TSGLK
    4297. SGLKS
    4298. GLKSG
    4299. LKSGY
    4300. KSGYN
    4301. SGYNI
    4302. GYNIG
    4303. YNIGS
    4304. NIGST
    4305. IGSTD
    4306. GSTDG
    4307. STDGF
    4308. TDGFL
    4309. DGFLP
    4310. GFLPV
    4311. FLPVI
    4312. LPVIG
    4313. PVIGP
    4314. VIGPV
    4315. IGPVI
    4316. GPVIW
    4317. PVIWE
    4318. VIWES
    4319. IWESE
    4320. WESEG
    4321. ESEGL
    4322. SEGLF
    4323. EGLFR
    4324. GLFRA
    4325. LFRAY
    4326. FRAYI
    4327. RAYIS
    4328. AYISS
    4329. YISSV
    4330. ISSVT
    4331. SSVTD
    4332. SVTDG
    4333. VTDGD
    4334. TDGDG
    4335. DGDGK
    4336. GDGKS
    4337. DGKSH
    4338. GKSHK
    4339. KSHKV
    4340. SHKVG
    4341. HKVGF
    4342. KVGFL
    4343. VGFLR
    4344. GFLRI
    4345. FLRIP
    4346. LRIPT
    4347. RIPTY
    4348. IPTYS
    4349. PTYSW
    4350. TYSWQ
    4351. YSWQD
    4352. SWQDM
    4353. WQDME
    4354. QDMED
    4355. DMEDF
    4356. MEDFD
    4357. EDFDP
    4358. DFDPS
    4359. FDPSG
    4360. DPSGP
    4361. PSGPP
    4362. SGPPP
    4363. GPPPW
    4364. PPPWE
    4365. PPWEE
    4366. PWEEF
    4367. WEEFA
    4368. EEFAK
    4369. EFAKI
    4370. FAKII
    4371. AKIIQ
    4372. KIIQV
    4373. IIQVF
    4374. IQVFS
    4375. QVFSS
    4376. VFSSN
    4377. FSSNT
    4378. SSNTE
    4379. SNTEA
    4380. NTEAL
    4381. TEALI
    4382. EALII
    4383. ALIID
    4384. LIIDQ
    4385. IIDQT
    4386. IDQTN
    4387. DQTNN
    4388. QTNNP
    4389. TNNPG
    4390. NNPGG
    4391. NPGGS
    4392. PGGSV
    4393. GGSVL
    4394. GSVLY
    4395. SVLYL
    4396. VLYLY
    4397. LYLYA
    4398. YLYAL
    4399. LYALL
    4400. YALLS
    4401. ALLSM
    4402. LLSML
    4403. LSMLT
    4404. SMLTD
    4405. MLTDR
    4406. LTDRP
    4407. TDRPL
    4408. DRPLE
    4409. RPLEL
    4410. PLELP
    4411. LELPK
    4412. ELPKH
    4413. LPKHR
    4414. PKHRM
    4415. KHRMI
    4416. HRMIL
    4417. RMILT
    4418. MILTQ
    4419. ILTQD
    4420. LTQDE
    4421. TQDEV
    4422. QDEVV
    4423. DEVVD
    4424. EVVDA
    4425. VVDAL
    4426. VDALD
    4427. DALDW
    4428. ALDWL
    4429. LDWLT
    4430. DWLTL
    4431. WLTLL
    4432. LTLLE
    4433. TLLEN
    4434. LLENV
    4435. LENVD
    4436. ENVDT
    4437. NVDTN
    4438. VDTNV
    4439. DTNVE
    4440. TNVES
    4441. NVESR
    4442. VESRL
    4443. ESRLA
    4444. SRLAL
    4445. RLALG
    4446. LALGD
    4447. ALGDN
    4448. LGDNM
    4449. GDNME
    4450. DNMEG
    4451. NMEGY
    4452. MEGYT
    4453. EGYTV
    4454. GYTVD
    4455. YTVDL
    4456. TVDLQ
    4457. VDLQV
    4458. DLQVA
    4459. LQVAE
    4460. QVAEY
    4461. VAEYL
    4462. AEYLK
    4463. EYLKS
    4464. YLKSF
    4465. LKSFG
    4466. KSFGR
    4467. SFGRQ
    4468. FGRQV
    4469. GRQVL
    4470. RQVLN
    4471. QVLNC
    4472. VLNCW
    4473. LNCWS
    4474. NCWSK
    4475. CWSKG
    4476. WSKGD
    4477. SKGDI
    4478. KGDIE
    4479. GDIEL
    4480. DIELS
    4481. IELST
    4482. ELSTP
    4483. LSTPI
    4484. STPIP
    4485. TPIPL
    4486. PIPLF
    4487. IPLFG
    4488. PLFGF
    4489. LFGFE
    4490. FGFEK
    4491. GFEKI
    4492. FEKIH
    4493. EKIHP
    4494. KIHPH
    4495. IHPHP
    4496. HPHPR
    4497. PHPRV
    4498. HPRVQ
    4499. PRVQY
    4500. RVQYS
    4501. VQYSK
    4502. QYSKP
    4503. YSKPI
    4504. SKPIC
    4505. KPICV
    4506. PICVL
    4507. ICVLI
    4508. CVLIN
    4509. VLINE
    4510. LINEQ
    4511. INEQD
    4512. NEQDF
    4513. EQDFS
    4514. QDFSC
    4515. DFSCA
    4516. FSCAD
    4517. SCADF
    4518. CADFF
    4519. ADFFP
    4520. DFFPV
    4521. FFPVV
    4522. FPVVL
    4523. PVVLK
    4524. VVLKD
    4525. VLKDN
    4526. LKDND
    4527. KDNDR
    4528. DNDRA
    4529. NDRAL
    4530. DRALI
    4531. RALIV
    4532. ALIVG
    4533. LIVGT
    4534. IVGTR
    4535. VGTRT
    4536. GTRTA
    4537. TRTAG
    4538. RTAGA
    4539. TAGAG
    4540. AGAGG
    4541. GAGGF
    4542. AGGFV
    4543. GGFVF
    4544. GFVFN
    4545. FVFNV
    4546. VFNVQ
    4547. FNVQF
    4548. NVQFP
    4549. VQFPN
    4550. QFPNR
    4551. FPNRT
    4552. PNRTG
    4553. NRTGI
    4554. RTGIK
    4555. TGIKT
    4556. GIKTC
    4557. IKTCS
    4558. KTCSL
    4559. TCSLT
    4560. CSLTG
    4561. SLTGS
    4562. LTGSL
    4563. TGSLA
    4564. GSLAV
    4565. SLAVR
    4566. LAVRE
    4567. AVREH
    4568. VREHG
    4569. REHGA
    4570. EHGAF
    4571. HGAFI
    4572. GAFIE
    4573. AFIEN
    4574. FIENI
    4575. IENIG
    4576. ENIGV
    4577. NIGVE
    4578. IGVEP
    4579. GVEPH
    4580. VEPHI
    4581. EPHID
    4582. PHIDL
    4583. HIDLP
    4584. IDLPF
    4585. DLPFT
    4586. LPFTA
    4587. PFTAN
    4588. FTAND
    4589. TANDI
    4590. ANDIR
    4591. NDIRY
    4592. DIRYK
    4593. IRYKG
    4594. RYKGY
    4595. YKGYS
    4596. KGYSE
    4597. GYSEY
    4598. YSEYL
    4599. SEYLD
    4600. EYLDK
    4601. YLDKV
    4602. LDKVK
    4603. DKVKK
    4604. KVKKL
    4605. VKKLV
    4606. KKLVC
    4607. KLVCQ
    4608. LVCQL
    4609. VCQLI
    4610. CQLIN
    4611. QLINN
    4612. LINND
    4613. INNDG
    4614. NNDGT
    4615. NDGTI
    4616. DGTII
    4617. GTIIL
    4618. TIILA
    4619. IILAE
    4620. ILAED
    4621. LAEDG
    4622. AEDGS
    4623. EDGSF
    5-mer peptides of Pgp3 (plasmid-encoded secretion
    protein, total of 264 amino acids), ACCESSION#
    ADI51551.1, GI: 297749006 (SEQ ID NOS: 4624-4883)
    4624. MGNSG
    4625. GNSGF
    4626. NSGFY
    4627. SGFYL
    4628. GFYLY
    4629. FYLYN
    4630. YLYNT
    4631. LYNTE
    4632. YNTEN
    4633. NTENC
    4634. TENCV
    4635. ENCVF
    4636. NCVFA
    4637. CVFAD
    4638. VFADN
    4639. FADNI
    4640. ADNIK
    4641. DNIKV
    4642. NIKVG
    4643. IKVGQ
    4644. KVGQM
    4645. VGQMT
    4646. GQMTE
    4647. QMTEP
    4648. MTEPL
    4649. TEPLK
    4650. EPLKD
    4651. PLKDQ
    4652. LKDQQ
    4653. KDQQI
    4654. DQQII
    4655. QQIIL
    4656. QIILG
    4657. IILGT
    4658. ILGTK
    4659. LGTKS
    4660. GTKST
    4661. TKSTP
    4662. KSTPV
    4663. STPVA
    4664. TPVAA
    4665. PVAAK
    4666. VAAKM
    4667. AAKMT
    4668. AKMTA
    4669. KMTAS
    4670. MTASD
    4671. TASDG
    4672. ASDGI
    4673. SDGIS
    4674. DGISL
    4675. GISLT
    4676. ISLTV
    4677. SLTVS
    4678. LTVSN
    4679. TVSNN
    4680. VSNNS
    4681. SNNSS
    4682. NNSST
    4683. NSSTN
    4684. SSTNA
    4685. STNAS
    4686. TNASI
    4687. NASIT
    4688. ASITI
    4689. SITIG
    4690. ITIGL
    4691. TIGLD
    4692. IGLDA
    4693. GLDAE
    4694. LDAEK
    4695. DAEKA
    4696. AEKAY
    4697. EKAYQ
    4698. KAYQL
    4699. AYQLI
    4700. YQLIL
    4701. QLILE
    4702. LILEK
    4703. ILEKL
    4704. LEKLG
    4705. EKLGN
    4706. KLGNQ
    4707. LGNQI
    4708. GNQIL
    4709. NQILD
    4710. QILDG
    4711. ILDGI
    4712. LDGIA
    4713. DGIAD
    4714. GIADT
    4715. IADTI
    4716. ADTIV
    4717. DTIVD
    4718. TIVDS
    4719. IVDST
    4720. VDSTV
    4721. DSTVQ
    4722. STVQD
    4723. TVQDI
    4724. VQDIL
    4725. QDILD
    4726. DILDK
    4727. ILDKI
    4728. LDKIT
    4729. DKITT
    4730. KITTD
    4731. ITTDP
    4732. TTDPS
    4733. TDPSL
    4734. DPSLG
    4735. PSLGL
    4736. SLGLL
    4737. LGLLK
    4738. GLLKA
    4739. LLKAF
    4740. LKAFN
    4741. KAFNN
    4742. AFNNF
    4743. FNNFP
    4744. NNFPI
    4745. NFPIT
    4746. FPITN
    4747. PITNK
    4748. ITNKI
    4749. TNKIQ
    4750. NKIQC
    4751. KIQCN
    4752. IQCNG
    4753. QCNGL
    4754. CNGLF
    4755. NGLFT
    4756. GLFTP
    4757. LFTPS
    4758. FTPSN
    4759. TPSNI
    4760. PSNIE
    4761. SNIET
    4762. NIETL
    4763. IETLL
    4764. ETLLG
    4765. TLLGG
    4766. LLGGT
    4767. LGGTE
    4768. GGTEI
    4769. GTEIG
    4770. TEIGK
    4771. EIGKF
    4772. IGKFT
    4773. GKFTV
    4774. KFTVT
    4775. FTVTP
    4776. TVTPK
    4777. VTPKS
    4778. TPKSS
    4779. PKSSG
    4780. KSSGS
    4781. SSGSM
    4782. SGSMF
    4783. GSMFL
    4784. SMFLV
    4785. MFLVS
    4786. FLVSA
    4787. LVSAD
    4788. VSADI
    4789. SADII
    4790. ADIIA
    4791. DIIAS
    4792. IIASR
    4793. IASRM
    4794. ASRME
    4795. SRMEG
    4796. RMEGG
    4797. MEGGV
    4798. EGGVV
    4799. GGVVL
    4800. GVVLA
    4801. VVLAL
    4802. VLALV
    4803. LALVR
    4804. ALVRE
    4805. LVREG
    4806. VREGD
    4807. REGDS
    4808. EGDSK
    4809. GDSKP
    4810. DSKPC
    4811. SKPCA
    4812. KPCAI
    4813. PCAIS
    4814. CAISY
    4815. AISYG
    4816. ISYGY
    4817. SYGYS
    4818. YGYSS
    4819. GYSSG
    4820. YSSGV
    4821. SSGVP
    4822. SGVPN
    4823. GVPNL
    4824. VPNLC
    4825. PNLCS
    4826. NLCSL
    4827. LCSLR
    4828. CSLRT
    4829. SLRTS
    4830. LRTSI
    4831. RTSIT
    4832. TSITN
    4833. SITNT
    4834. ITNTG
    4835. TNTGL
    4836. NTGLT
    4837. TGLTP
    4838. GLTPT
    4839. LTPTT
    4840. TPTTY
    4841. PTTYS
    4842. TTYSL
    4843. TYSLR
    4844. YSLRV
    4845. SLRVG
    4846. LRVGG
    4847. RVGGL
    4848. VGGLE
    4849. GGLES
    4850. GLESG
    4851. LESGV
    4852. ESGVV
    4853. SGVVW
    4854. GVVWV
    4855. VVWVN
    4856. VWVNA
    4857. WVNAL
    4858. VNALS
    4859. NALSN
    4860. ALSNG
    4861. LSNGN
    4862. SNGND
    4863. NGNDI
    4864. GNDIL
    4865. NDILG
    4866. DILGI
    4867. ILGIT
    4868. LGITN
    4869. GITNT
    4870. ITNTS
    4871. TNTSN
    4872. NTSNV
    4873. TSNVS
    4874. SNVSF
    4875. NVSFL
    4876. VSFLE
    4877. SFLEV
    4878. FLEVI
    4879. LEVIP
    4880. EVIPQ
    4881. VIPQT
    4882. IPQTN
    4883. PQTNA
    5-mer peptides of CT823 (cHtrA, 497 amino acids),
    ACCESSION# NP 220344.1, GI: 15605558 (SEQ ID NOS:
    4884-5376)
    4884. MMKRL
    4885. MKRLL
    4886. KRLLC
    4887. RLLCV
    4888. LLCVL
    4889. LCVLL
    4890. CVLLS
    4891. VLLST
    4892. LLSTS
    4893. LSTSV
    4894. STSVF
    4895. TSVFS
    4896. SVFSS
    4897. VFSSP
    4898. FSSPM
    4899. SSPML
    4900. SPMLG
    4901. PMLGY
    4902. MLGYS
    4903. LGYSA
    4904. GYSAS
    4905. YSASK
    4906. SASKK
    4907. ASKKD
    4908. SKKDS
    4909. KKDSK
    4910. KDSKA
    4911. DSKAD
    4912. SKADI
    4913. KADIC
    4914. ADICL
    4915. DICLA
    4916. ICLAV
    4917. CLAVS
    4918. LAVSS
    4919. AVSSG
    4920. VSSGD
    4921. SSGDQ
    4922. SGDQE
    4923. GDQEV
    4924. DQEVS
    4925. QEVSQ
    4926. EVSQE
    4927. VSQED
    4928. SQEDL
    4929. QEDLL
    4930. EDLLK
    4931. DLLKE
    4932. LLKEV
    4933. LKEVS
    4934. KEVSR
    4935. EVSRG
    4936. VSRGF
    4937. SRGFS
    4938. RGFSR
    4939. GFSRV
    4940. FSRVA
    4941. SRVAA
    4942. RVAAK
    4943. VAAKA
    4944. AAKAT
    4945. AKATP
    4946. KATPG
    4947. ATPGV
    4948. TPGVV
    4949. PGVVY
    4950. GVVYI
    4951. VVYIE
    4952. VYIEN
    4953. YIENF
    4954. IENFP
    4955. ENFPK
    4956. NFPKT
    4957. FPKTG
    4958. PKTGN
    4959. KTGNQ
    4960. TGNQA
    4961. GNQAI
    4962. NQAIA
    4963. QAIAS
    4964. AIASP
    4965. IASPG
    4966. ASPGN
    4967. SPGNK
    4968. PGNKR
    4969. GNKRG
    4970. NKRGF
    4971. KRGFQ
    4972. RGFQE
    4973. GFQEN
    4974. FQENP
    4975. QENPF
    4976. ENPFD
    4977. NPFDY
    4978. PFDYF
    4979. FDYFN
    4980. DYFND
    4981. YFNDE
    4982. FNDEF
    4983. NDEFF
    4984. DEFFN
    4985. EFFNR
    4986. FFNRF
    4987. FNRFF
    4988. NRFFG
    4989. RFFGL
    4990. FFGLP
    4991. FGLPS
    4992. GLPSH
    4993. LPSHR
    4994. PSHRE
    4995. SHREQ
    4996. HREQQ
    4997. REQQR
    4998. EQQRP
    4999. QQRPQ
    5000. QRPQQ
    5001. RPQQR
    5002. PQQRD
    5003. QQRDA
    5004. QRDAV
    5005. RDAVR
    5006. DAVRG
    5007. AVRGT
    5008. VRGTG
    5009. RGTGF
    5010. GTGFI
    5011. TGFIV
    5012. GFIVS
    5013. FIVSE
    5014. IVSED
    5015. VSEDG
    5016. SEDGY
    5017. EDGYV
    5018. DGYVV
    5019. GYVVT
    5020. YVVTN
    5021. VVTNH
    5022. VTNHH
    5023. TNHHV
    5024. NHHVV
    5025. HHVVE
    5026. HVVED
    5027. VVEDA
    5028. VEDAG
    5029. EDAGK
    5030. DAGKI
    5031. AGKIH
    5032. GKIHV
    5033. KIHVT
    5034. IHVTL
    5035. HVTLH
    5036. VTLHD
    5037. TLHDG
    5038. LHDGQ
    5039. HDGQK
    5040. DGQKY
    5041. GQKYT
    5042. QKYTA
    5043. KYTAK
    5044. YTAKI
    5045. TAKIV
    5046. AKIVG
    5047. KIVGL
    5048. IVGLD
    5049. VGLDP
    5050. GLDPK
    5051. LDPKT
    5052. DPKTD
    5053. PKTDL
    5054. KTDLA
    5055. TDLAV
    5056. DLAVI
    5057. LAVIK
    5058. AVIKI
    5059. VIKIQ
    5060. IKIQA
    5061. KIQAE
    5062. IQAEK
    5063. QAEKL
    5064. AEKLP
    5065. EKLPF
    5066. KLPFL
    5067. LPFLT
    5068. PFLTF
    5069. FLTFG
    5070. LTFGN
    5071. TFGNS
    5072. FGNSD
    5073. GNSDQ
    5074. NSDQL
    5075. SDQLQ
    5076. DQLQI
    5077. QLQIG
    5078. LQIGD
    5079. QIGDW
    5080. IGDWA
    5081. GDWAI
    5082. DWAIA
    5083. WAIAI
    5084. AIAIG
    5085. IAIGN
    5086. AIGNP
    5087. IGNPF
    5088. GNPFG
    5089. NPFGL
    5090. PFGLQ
    5091. FGLQA
    5092. GLQAT
    5093. LQATV
    5094. QATVT
    5095. ATVTV
    5096. TVTVG
    5097. VTVGV
    5098. TVGVI
    5099. VGVIS
    5100. GVISA
    5101. VISAK
    5102. ISAKG
    5103. SAKGR
    5104. AKGRN
    5105. KGRNQ
    5106. GRNQL
    5107. RNQLH
    5108. NQLHI
    5109. QLHIV
    5110. LHIVD
    5111. HIVDF
    5112. IVDFE
    5113. VDFED
    5114. DFEDF
    5115. FEDFI
    5116. EDFIQ
    5117. DFIQT
    5118. FIQTD
    5119. IQTDA
    5120. QTDAA
    5121. TDAAI
    5122. DAAIN
    5123. AAINP
    5124. AINPG
    5125. INPGN
    5126. NPGNS
    5127. PGNSG
    5128. GNSGG
    5129. NSGGP
    5130. SGGPL
    5131. GGPLL
    5132. GPLLN
    5133. PLLNI
    5134. LLNIN
    5135. LNING
    5136. NINGQ
    5137. INGQV
    5138. NGQVI
    5139. GQVIG
    5140. QVIGV
    5141. VIGVN
    5142. IGVNT
    5143. GVNTA
    5144. VNTAI
    5145. NTAIV
    5146. TAIVS
    5147. AIVSG
    5148. IVSGS
    5149. VSGSG
    5150. SGSGG
    5151. GSGGY
    5152. SGGYI
    5153. GGYIG
    5154. GYIGI
    5155. YIGIG
    5156. IGIGF
    5157. GIGFA
    5158. IGFAI
    5159. GFAIP
    5160. FAIPS
    5161. AIPSL
    5162. IPSLM
    5163. PSLMA
    5164. SLMAK
    5165. LMAKR
    5166. MAKRV
    5167. AKRVI
    5168. KRVID
    5169. RVIDQ
    5170. VIDQL
    5171. IDQLI
    5172. DQLIS
    5173. QLISD
    5174. LISDG
    5175. ISDGQ
    5176. SDGQV
    5177. DGQVT
    5178. GQVTR
    5179. QVTRG
    5180. VTRGF
    5181. TRGFL
    5182. RGFLG
    5183. GFLGV
    5184. FLGVT
    5185. LGVTL
    5186. GVTLQ
    5187. VTLQP
    5188. TLQPI
    5189. LQPID
    5190. QPIDS
    5191. PIDSE
    5192. IDSEL
    5193. DSELA
    5194. SELAT
    5195. ELATC
    5196. LATCY
    5197. ATCYK
    5198. TCYKL
    5199. CYKLE
    5200. YKLEK
    5201. KLEKV
    5202. LEKVY
    5203. EKVYG
    5204. KVYGA
    5205. VYGAL
    5206. YGALV
    5207. GALVT
    5208. ALVTD
    5209. LVTDV
    5210. VTDVV
    5211. TDVVK
    5212. DVVKG
    5213. VVKGS
    5214. VKGSP
    5215. KGSPA
    5216. GSPAE
    5217. SPAEK
    5218. PAEKA
    5219. AEKAG
    5220. EKAGL
    5221. KAGLR
    5222. AGLRQ
    5223. GLRQE
    5224. LRQED
    5225. RQEDV
    5226. QEDVI
    5227. EDVIV
    5228. DVIVA
    5229. VIVAY
    5230. IVAYN
    5231. VAYNG
    5232. AYNGK
    5233. YNGKE
    5234. NGKEV
    5235. GKEVE
    5236. KEVES
    5237. EVESL
    5238. VESLS
    5239. ESLSA
    5240. SLSAL
    5241. LSALR
    5242. SALRN
    5243. ALRNA
    5244. LRNAI
    5245. RNAIS
    5246. NAISL
    5247. AISLM
    5248. ISLMM
    5249. SLMMP
    5250. LMMPG
    5251. MMPGT
    5252. MPGTR
    5253. PGTRV
    5254. GTRVV
    5255. TRVVL
    5256. RVVLK
    5257. VVLKI
    5258. VLKIV
    5259. LKIVR
    5260. KIVRE
    5261. IVREG
    5262. VREGK
    5263. REGKT
    5264. EGKTI
    5265. GKTIE
    5266. KTIEI
    5267. TIEIP
    5268. IEIPV
    5269. EIPVT
    5270. IPVTV
    5271. PVTVT
    5272. VTVTQ
    5273. TVTQI
    5274. VTQIP
    5275. TQIPT
    5276. QIPTE
    5277. IPTED
    5278. PTEDG
    5279. TEDGV
    5280. EDGVS
    5281. DGVSA
    5282. GVSAL
    5283. VSALQ
    5284. SALQK
    5285. ALQKM
    5286. LQKMG
    5287. QKMGV
    5288. KMGVR
    5289. MGVRV
    5290. GVRVQ
    5291. VRVQN
    5292. RVQNI
    5293. VQNIT
    5294. QNITP
    5295. NITPE
    5296. ITPEI
    5297. TPEIC
    5298. PEICK
    5299. EICKK
    5300. ICKKL
    5301. CKKLG
    5302. KKLGL
    5303. KLGLA
    5304. LGLAA
    5305. GLAAD
    5306. LAADT
    5307. AADTR
    5308. ADTRG
    5309. DTRGI
    5310. TRGIL
    5311. RGILV
    5312. GILVV
    5313. ILVVA
    5314. LVVAV
    5315. VVAVE
    5316. VAVEA
    5317. AVEAG
    5318. VEAGS
    5319. EAGSP
    5320. AGSPA
    5321. GSPAA
    5322. SPAAS
    5323. PAASA
    5324. AASAG
    5325. ASAGV
    5326. SAGVA
    5327. AGVAP
    5328. GVAPG
    5329. VAPGQ
    5330. APGQL
    5331. PGQLI
    5332. GQLIL
    5333. QLILA
    5334. LILAV
    5335. ILAVN
    5336. LAVNR
    5337. AVNRQ
    5338. VNRQR
    5339. NRQRV
    5340. RQRVA
    5341. QRVAS
    5342. RVASV
    5343. VASVE
    5344. ASVEE
    5345. SVEEL
    5346. VEELN
    5347. EELNQ
    5348. ELNQV
    5349. LNQVL
    5350. NQVLK
    5351. QVLKN
    5352. VLKNS
    5353. LKNSK
    5354. KNSKG
    5355. NSKGE
    5356. SKGEN
    5357. KGENV
    5358. GENVL
    5359. ENVLL
    5360. NVLLM
    5361. VLLMV
    5362. LLMVS
    5363. LMVSQ
    5364. MVSQG
    5365. VSQGD
    5366. SQGDV
    5367. QGDVV
    5368. GDVVR
    5369. DVVRF
    5370. VVRFI
    5371. VRFIV
    5372. RFIVL
    5373. FIVLK
    5374. IVLKS
    5375. VLKSD
    5376. LKSDE
    5-mer peptides of CT681 (MOMP, 393 amino acids),
    ACCESSION# NP 220200.1, GI: 15605414 (SEQ ID NOS:
    5377-5765)
    5377. MKKLL
    5378. KKLLK
    5379. KLLKS
    5380. LLKSV
    5381. LKSVL
    5382. KSVLV
    5383. SVLVF
    5384. VLVFA
    5385. LVFAA
    5386. VFAAL
    5387. FAALS
    5388. AALSS
    5389. ALSSA
    5390. LSSAS
    5391. SSASS
    5392. SASSL
    5393. ASSLQ
    5394. SSLQA
    5395. SLQAL
    5396. LQALP
    5397. QALPV
    5398. ALPVG
    5399. LPVGN
    5400. PVGNP
    5401. VGNPA
    5402. GNPAE
    5403. NPAEP
    5404. PAEPS
    5405. AEPSL
    5406. EPSLM
    5407. PSLMI
    5408. SLMID
    5409. LMIDG
    5410. MIDGI
    5411. IDGIL
    5412. DGILW
    5413. GILWE
    5414. ILWEG
    5415. LWEGF
    5416. WEGFG
    5417. EGFGG
    5418. GFGGD
    5419. FGGDP
    5420. GGDPC
    5421. GDPCD
    5422. DPCDP
    5423. PCDPC
    5424. CDPCA
    5425. DPCAT
    5426. PCATW
    5427. CATWC
    5428. ATWCD
    5429. TWCDA
    5430. WCDAI
    5431. CDAIS
    5432. DAISM
    5433. AISMR
    5434. ISMRV
    5435. SMRVG
    5436. MRVGY
    5437. RVGYY
    5438. VGYYG
    5439. GYYGD
    5440. YYGDF
    5441. YGDFV
    5442. GDFVF
    5443. DFVFD
    5444. FVFDR
    5445. VFDRV
    5446. FDRVL
    5447. DRVLK
    5448. RVLKT
    5449. VLKTD
    5450. LKTDV
    5451. KTDVN
    5452. TDVNK
    5453. DVNKE
    5454. VNKEF
    5455. NKEFQ
    5456. KEFQM
    5457. EFQMG
    5458. FQMGA
    5459. QMGAK
    5460. MGAKP
    5461. GAKPT
    5462. AKPTT
    5463. KPTTD
    5464. PTTDT
    5465. TTDTG
    5466. TDTGN
    5467. DTGNS
    5468. TGNSA
    5469. GNSAA
    5470. NSAAP
    5471. SAAPS
    5472. AAPST
    5473. APSTL
    5474. PSTLT
    5475. STLTA
    5476. TLTAR
    5477. LTARE
    5478. TAREN
    5479. ARENP
    5480. RENPA
    5481. ENPAY
    5482. NPAYG
    5483. PAYGR
    5484. AYGRH
    5485. YGRHM
    5486. GRHMQ
    5487. RHMQD
    5488. HMQDA
    5489. MQDAE
    5490. QDAEM
    5491. DAEMF
    5492. AEMFT
    5493. EMFTN
    5494. MFTNA
    5495. FTNAA
    5496. TNAAC
    5497. NAACM
    5498. AACMA
    5499. ACMAL
    5500. CMALN
    5501. MALNI
    5502. ALNIW
    5503. LNIWD
    5504. NIWDR
    5505. IWDRF
    5506. WDRFD
    5507. DRFDV
    5508. RFDVF
    5509. FDVFC
    5510. DVFCT
    5511. VFCTL
    5512. FCTLG
    5513. CTLGA
    5514. TLGAT
    5515. LGATS
    5516. GATSG
    5517. ATSGY
    5518. TSGYL
    5519. SGYLK
    5520. GYLKG
    5521. YLKGN
    5522. LKGNS
    5523. KGNSA
    5524. GNSAS
    5525. NSASF
    5526. SASFN
    5527. ASFNL
    5528. SFNLV
    5529. FNLVG
    5530. NLVGL
    5531. LVGLF
    5532. VGLFG
    5533. GLFGD
    5534. LFGDN
    5535. FGDNE
    5536. GDNEN
    5537. DNENQ
    5538. NENQK
    5539. ENQKT
    5540. NQKTV
    5541. QKTVK
    5542. KTVKA
    5543. TVKAE
    5544. VKAES
    5545. KAESV
    5546. AESVP
    5547. ESVPN
    5548. SVPNM
    5549. VPNMS
    5550. PNMSF
    5551. NMSFD
    5552. MSFDQ
    5553. SFDQS
    5554. FDQSV
    5555. DQSVV
    5556. QSVVE
    5557. SVVEL
    5558. VVELY
    5559. VELYT
    5560. ELYTD
    5561. LYTDT
    5562. YTDTT
    5563. TDTTF
    5564. DTTFA
    5565. TTFAW
    5566. TFAWS
    5567. FAWSV
    5568. AWSVG
    5569. WSVGA
    5570. SVGAR
    5571. VGARA
    5572. GARAA
    5573. ARAAL
    5574. RAALW
    5575. AALWE
    5576. ALWEC
    5577. LWECG
    5578. WECGC
    5579. ECGCA
    5580. CGCAT
    5581. GCATL
    5582. CATLG
    5583. ATLGA
    5584. TLGAS
    5585. LGASF
    5586. GASFQ
    5587. ASFQY
    5588. SFQYA
    5589. FQYAQ
    5590. QYAQS
    5591. YAQSK
    5592. AQSKP
    5593. QSKPK
    5594. SKPKV
    5595. KPKVE
    5596. PKVEE
    5597. KVEEL
    5598. VEELN
    5599. EELNV
    5600. ELNVL
    5601. LNVLC
    5602. NVLCN
    5603. VLCNA
    5604. LCNAA
    5605. CNAAE
    5606. NAAEF
    5607. AAEFT
    5608. AEFTI
    5609. EFTIN
    5610. FTINK
    5611. TINKP
    5612. INKPK
    5613. NKPKG
    5614. KPKGY
    5615. PKGYV
    5616. KGYVG
    5617. GYVGK
    5618. YVGKE
    5619. VGKEF
    5620. GKEFP
    5621. KEFPL
    5622. EFPLD
    5623. FPLDL
    5624. PLDLT
    5625. LDLTA
    5626. DLTAG
    5627. LTAGT
    5628. TAGTD
    5629. AGTDA
    5630. GTDAA
    5631. TDAAT
    5632. DAATG
    5633. AATGT
    5634. ATGTK
    5635. TGTKD
    5636. GTKDA
    5637. TKDAS
    5638. KDASI
    5639. DASID
    5640. ASIDY
    5641. SIDYH
    5642. IDYHE
    5643. DYHEW
    5644. YHEWQ
    5645. HEWQA
    5646. EWQAS
    5647. WQASL
    5648. QASLA
    5649. ASLAL
    5650. SLALS
    5651. LALSY
    5652. ALSYR
    5653. LSYRL
    5654. SYRLN
    5655. YRLNM
    5656. RLNMF
    5657. LNMFT
    5658. NMFTP
    5659. MFTPY
    5660. FTPYI
    5661. TPYIG
    5662. PYIGV
    5663. YIGVK
    5664. IGVKW
    5665. GVKWS
    5666. VKWSR
    5667. KWSRA
    5668. WSRAS
    5669. SRASF
    5670. RASFD
    5671. ASFDA
    5672. SFDAD
    5673. FDADT
    5674. DADTI
    5675. ADTIR
    5676. DTIRI
    5677. TIRIA
    5678. IRIAQ
    5679. RIAQP
    5680. IAQPK
    5681. AQPKS
    5682. QPKSA
    5683. PKSAT
    5684. KSATA
    5685. SATAI
    5686. ATAIF
    5687. TAIFD
    5688. AIFDT
    5689. IFDTT
    5690. FDTTT
    5691. DTTTL
    5692. TTTLN
    5693. TTLNP
    5694. TLNPT
    5695. LNPTI
    5696. NPTIA
    5697. PTIAG
    5698. TIAGA
    5699. IAGAG
    5700. AGAGD
    5701. GAGDV
    5702. AGDVK
    5703. GDVKT
    5704. DVKTG
    5705. VKTGA
    5706. KTGAE
    5707. TGAEG
    5708. GAEGQ
    5709. AEGQL
    5710. EGQLG
    5711. GQLGD
    5712. QLGDT
    5713. LGDTM
    5714. GDTMQ
    5715. DTMQI
    5716. TMQIV
    5717. MQIVS
    5718. QIVSL
    5719. IVSLQ
    5720. VSLQL
    5721. SLQLN
    5722. LQLNK
    5723. QLNKM
    5724. LNKMK
    5725. NKMKS
    5726. KMKSR
    5727. MKSRK
    5728. KSRKS
    5729. SRKSC
    5730. RKSCG
    5731. KSCGI
    5732. SCGIA
    5733. CGIAV
    5734. GIAVG
    5735. IAVGT
    5736. AVGTT
    5737. VGTTI
    5738. GTTIV
    5739. TTIVD
    5740. TIVDA
    5741. IVDAD
    5742. VDADK
    5743. DADKY
    5744. ADKYA
    5745. DKYAV
    5746. KYAVT
    5747. YAVTV
    5748. AVTVE
    5749. VTVET
    5750. TVETR
    5751. VETRL
    5752. ETRLI
    5753. TRLID
    5754. RLIDE
    5755. LIDER
    5756. IDERA
    5757. DERAA
    5758. ERAAH
    5759. RAAHV
    5760. AAHVN
    5761. AHVNA
    5762. HVNAQ
    5763. VNAQF
    5764. NAQFR
    5765. AQFRF
    5-mer peptides of CT119 (IncA, 273 amino acids),
    ACCESSION# NP219622.1, GI: 15604838 (SEQ ID NOS:
    5766-6034)
    5766. MTTPT
    5767. TTPTL
    5768. TPTLI
    5769. PTLIV
    5770. TLIVT
    5771. LIVTP
    5772. IVTPP
    5773. VTPPS
    5774. TPPSP
    5775. PPSPP
    5776. PSPPA
    5777. SPPAP
    5778. PPAPS
    5779. PAPSY
    5780. APSYS
    5781. PSYSA
    5782. SYSAN
    5783. YSANR
    5784. SANRV
    5785. ANRVP
    5786. NRVPQ
    5787. RVPQP
    5788. VPQPS
    5789. PQPSL
    5790. QPSLM
    5791. PSLMD
    5792. SLMDK
    5793. LMDKI
    5794. MDKIK
    5795. DKIKK
    5796. KIKKI
    5797. IKKIA
    5798. KKIAA
    5799. KIAAI
    5800. IAAIA
    5801. AAIAS
    5802. AIASL
    5803. IASLI
    5804. ASLIL
    5805. SLILI
    5806. LILIG
    5807. ILIGT
    5808. LIGTI
    5809. IGTIG
    5810. GTIGF
    5811. TIGFL
    5812. IGFLA
    5813. GFLAL
    5814. FLALL
    5815. LALLG
    5816. ALLGH
    5817. LLGHL
    5818. LGHLV
    5819. GHLVG
    5820. HLVGF
    5821. LVGFL
    5822. VGFLI
    5823. GFLIA
    5824. FLIAP
    5825. LIAPQ
    5826. IAPQI
    5827. APQIT
    5828. PQITI
    5829. QITIV
    5830. ITIVL
    5831. TIVLL
    5832. IVLLA
    5833. VLLAL
    5834. LLALF
    5835. LALFI
    5836. ALFII
    5837. LFIIS
    5838. FIISL
    5839. IISLA
    5840. ISLAG
    5841. SLAGN
    5842. LAGNA
    5843. AGNAL
    5844. GNALY
    5845. NALYL
    5846. ALYLQ
    5847. LYLQK
    5848. YLQKT
    5849. LQKTA
    5850. QKTAN
    5851. KTANL
    5852. TANLH
    5853. ANLHL
    5854. NLHLY
    5855. LHLYQ
    5856. HLYQD
    5857. LYQDL
    5858. YQDLQ
    5859. QDLQR
    5860. DLQRE
    5861. LQREV
    5862. QREVG
    5863. REVGS
    5864. EVGSL
    5865. VGSLK
    5866. GSLKE
    5867. SLKEI
    5868. LKEIN
    5869. KEINF
    5870. EINFM
    5871. INFML
    5872. NFMLS
    5873. FMLSV
    5874. MLSVL
    5875. LSVLQ
    5876. SVLQK
    5877. VLQKE
    5878. LQKEF
    5879. QKEFL
    5880. KEFLH
    5881. EFLHL
    5882. FLHLS
    5883. LHLSK
    5884. HLSKE
    5885. LSKEF
    5886. SKEFA
    5887. KEFAT
    5888. EFATT
    5889. FATTS
    5890. ATTSK
    5891. TTSKD
    5892. TSKDL
    5893. SKDLS
    5894. KDLSA
    5895. DLSAV
    5896. LSAVS
    5897. SAVSQ
    5898. AVSQD
    5899. VSQDF
    5900. SQDFY
    5901. QDFYS
    5902. DFYSC
    5903. FYSCL
    5904. YSCLQ
    5905. SCLQG
    5906. CLQGF
    5907. LQGFR
    5908. QGFRD
    5909. GFRDN
    5910. FRDNY
    5911. RDNYK
    5912. DNYKG
    5913. NYKGF
    5914. YKGFE
    5915. KGFES
    5916. GFESL
    5917. FESLL
    5918. ESLLD
    5919. SLLDE
    5920. LLDEY
    5921. LDEYK
    5922. DEYKN
    5923. EYKNS
    5924. YKNST
    5925. KNSTE
    5926. NSTEE
    5927. STEEM
    5928. TEEMR
    5929. EEMRK
    5930. EMRKL
    5931. MRKLF
    5932. RKLFS
    5933. KLFSQ
    5934. LFSQE
    5935. FSQEI
    5936. SQEII
    5937. QEIIA
    5938. EIIAD
    5939. IIADL
    5940. IADLK
    5941. ADLKG
    5942. DLKGS
    5943. LKGSV
    5944. KGSVA
    5945. GSVAS
    5946. SVASL
    5947. VASLR
    5948. ASLRE
    5949. SLREE
    5950. LREEI
    5951. REEIR
    5952. EEIRF
    5953. EIRFL
    5954. IRFLT
    5955. RFLTP
    5956. FLTPL
    5957. LTPLA
    5958. TPLAE
    5959. PLAEE
    5960. LAEEV
    5961. AEEVR
    5962. EEVRR
    5963. EVRRL
    5964. VRRLA
    5965. RRLAH
    5966. RLAHN
    5967. LAHNQ
    5968. AHNQQ
    5969. HNQQS
    5970. NQQSL
    5971. QQSLT
    5972. QSLTV
    5973. SLTVV
    5974. LTVVI
    5975. TVVIE
    5976. VVIEE
    5977. VIEEL
    5978. IEELK
    5979. EELKT
    5980. ELKTI
    5981. LKTIR
    5982. KTIRD
    5983. TIRDS
    5984. IRDSL
    5985. RDSLR
    5986. DSLRD
    5987. SLRDE
    5988. LRDEI
    5989. RDEIG
    5990. DEIGQ
    5991. EIGQL
    5992. IGQLS
    5993. GQLSQ
    5994. QLSQL
    5995. LSQLS
    5996. SQLSK
    5997. QLSKT
    5998. LSKTL
    5999. SKTLT
    6000. KTLTS
    6001. TLTSQ
    6002. LTSQI
    6003. TSQIA
    6004. SQIAL
    6005. QIALQ
    6006. IALQR
    6007. ALQRK
    6008. LQRKE
    6009. QRKES
    6010. RKESS
    6011. KESSD
    6012. ESSDL
    6013. SSDLC
    6014. SDLCS
    6015. DLCSQ
    6016. LCSQI
    6017. CSQIR
    6018. SQIRE
    6019. QIRET
    6020. IRETL
    6021. RETLS
    6022. ETLSS
    6023. TLSSP
    6024. LSSPR
    6025. SSPRK
    6026. SPRKS
    6027. PRKSA
    6028. RKSAS
    6029. KSASP
    6030. SASPS
    6031. ASPST
    6032. SPSTK
    6033. PSTKS
    6034. STKSS
    5-mer peptides of CT813 (inclusion membrane
    protein, 264 amino acids), ACCESSION# NP 220333.1,
    GI: 15605547 (SEQ ID NOS: 6035-6294)
    6035. MTTLP
    6036. TTLPN
    6037. TLPNN
    6038. LPNNC
    6039. PNNCT
    6040. NNCTS
    6041. NCTSN
    6042. CTSNS
    6043. TSNSN
    6044. SNSNS
    6045. NSNSI
    6046. SNSIN
    6047. NSINT
    6048. SINTF
    6049. INTFT
    6050. NTFTK
    6051. TFTKD
    6052. FTKDI
    6053. TKDIE
    6054. KDIEM
    6055. DIEMA
    6056. IEMAK
    6057. EMAKQ
    6058. MAKQI
    6059. AKQIQ
    6060. KQIQG
    6061. QIQGS
    6062. IQGSR
    6063. QGSRK
    6064. GSRKD
    6065. SRKDP
    6066. RKDPL
    6067. KDPLA
    6068. DPLAK
    6069. PLAKT
    6070. LAKTS
    6071. AKTSW
    6072. KTSWI
    6073. TSWIA
    6074. SWIAG
    6075. WIAGL
    6076. IAGLI
    6077. AGLIC
    6078. GLICV
    6079. LICVV
    6080. ICVVA
    6081. CVVAG
    6082. VVAGV
    6083. VAGVL
    6084. AGVLG
    6085. GVLGL
    6086. VLGLL
    6087. LGLLA
    6088. GLLAI
    6089. LLAIG
    6090. LAIGI
    6091. AIGIG
    6092. IGIGG
    6093. GIGGC
    6094. IGGCS
    6095. GGCSM
    6096. GCSMA
    6097. CSMAS
    6098. SMASG
    6099. MASGL
    6100. ASGLG
    6101. SGLGL
    6102. GLGLI
    6103. LGLIG
    6104. GLIGA
    6105. LIGAI
    6106. IGAIV
    6107. GAIVA
    6108. AIVAA
    6109. IVAAV
    6110. VAAVI
    6111. AAVIV
    6112. AVIVA
    6113. VIVAV
    6114. IVAVG
    6115. VAVGL
    6116. AVGLC
    6117. VGLCC
    6118. GLCCL
    6119. LCCLV
    6120. CCLVS
    6121. CLVSA
    6122. LVSAL
    6123. VSALC
    6124. SALCL
    6125. ALCLQ
    6126. LCLQV
    6127. CLQVE
    6128. LQVEK
    6129. QVEKS
    6130. VEKSQ
    6131. EKSQW
    6132. KSQWW
    6133. SQWWQ
    6134. QWWQK
    6135. WWQKE
    6136. WQKEF
    6137. QKEFE
    6138. KEFES
    6139. EFESW
    6140. FESWI
    6141. ESWIE
    6142. SWIEQ
    6143. WIEQK
    6144. IEQKS
    6145. EQKSQ
    6146. QKSQF
    6147. KSQFR
    6148. SQFRI
    6149. QFRIV
    6150. FRIVM
    6151. RIVMA
    6152. IVMAD
    6153. VMADM
    6154. MADML
    6155. ADMLK
    6156. DMLKA
    6157. MLKAN
    6158. LKANR
    6159. KANRK
    6160. ANRKL
    6161. NRKLQ
    6162. RKLQS
    6163. KLQSE
    6164. LQSEV
    6165. QSEVE
    6166. SEVEF
    6167. EVEFL
    6168. VEFLS
    6169. EFLSK
    6170. FLSKG
    6171. LSKGW
    6172. SKGWS
    6173. KGWSD
    6174. GWSDD
    6175. WSDDT
    6176. SDDTA
    6177. DDTAV
    6178. DTAVH
    6179. TAVHK
    6180. AVHKE
    6181. VHKED
    6182. HKEDV
    6183. KEDVT
    6184. EDVTK
    6185. DVTKY
    6186. VTKYE
    6187. TKYEQ
    6188. KYEQV
    6189. YEQVV
    6190. EQVVE
    6191. QVVEE
    6192. VVEEY
    6193. VEEYA
    6194. EEYAE
    6195. EYAEK
    6196. YAEKI
    6197. AEKIM
    6198. EKIME
    6199. KIMEL
    6200. IMELY
    6201. MELYE
    6202. ELYEE
    6203. LYEET
    6204. YEETG
    6205. EETGV
    6206. ETGVL
    6207. TGVLT
    6208. GVLTI
    6209. VLTIE
    6210. LTIEK
    6211. TIEKI
    6212. IEKIN
    6213. EKINL
    6214. KINLQ
    6215. INLQK
    6216. NLQKE
    6217. LQKEK
    6218. QKEKK
    6219. KEKKA
    6220. EKKAW
    6221. KKAWL
    6222. KAWLE
    6223. AWLEE
    6224. WLEEK
    6225. LEEKA
    6226. EEKAE
    6227. EKAEM
    6228. KAEME
    6229. AEMEQ
    6230. EMEQK
    6231. MEQKL
    6232. EQKLT
    6233. QKLTT
    6234. KLTTV
    6235. LTTVT
    6236. TTVTD
    6237. TVTDL
    6238. VTDLE
    6239. TDLEA
    6240. DLEAA
    6241. LEAAK
    6242. EAAKQ
    6243. AAKQQ
    6244. AKQQL
    6245. KQQLE
    6246. QQLEE
    6247. QLEEK
    6248. LEEKV
    6249. EEKVT
    6250. EKVTD
    6251. KVTDL
    6252. VTDLE
    6253. TDLES
    6254. DLESE
    6255. LESEK
    6256. ESEKQ
    6257. SEKQE
    6258. EKQEL
    6259. KQELR
    6260. QELRE
    6261. ELREE
    6262. LREEL
    6263. REELD
    6264. EELDK
    6265. ELDKA
    6266. LDKAI
    6267. DKAIE
    6268. KAIEN
    6269. AIENL
    6270. IENLD
    6271. ENLDE
    6272. NLDEM
    6273. LDEMA
    6274. DEMAY
    6275. EMAYE
    6276. MAYEA
    6277. AYEAM
    6278. YEAME
    6279. EAMEF
    6280. AMEFE
    6281. MEFEK
    6282. EFEKE
    6283. FEKEK
    6284. EKEKH
    6285. KEKHG
    6286. EKHGI
    6287. KHGIK
    6288. HGIKP
    6289. GIKPG
    6290. IKPGR
    6291. KPGRR
    6292. PGRRG
    6293. GRRGS
    6294. RRGSI
    5-mer peptides of CT795 (hypothetical protein,
    163 amino acids), ACCESSION# NP 220315.1,
    GI: 15605529 (SEQ ID NOS: 6295-6453)
    6295. MRFLL
    6296. RFLLA
    6297. FLLAL
    6298. LLALF
    6299. LALFS
    6300. ALFSL
    6301. LFSLI
    6302. FSLIL
    6303. SLILV
    6304. LILVL
    6305. ILVLP
    6306. LVLPA
    6307. VLPAT
    6308. LPATE
    6309. PATEA
    6310. ATEAF
    6311. TEAFS
    6312. EAFST
    6313. AFSTE
    6314. FSTED
    6315. STEDK
    6316. TEDKQ
    6317. EDKQC
    6318. DKQCQ
    6319. KQCQQ
    6320. QCQQE
    6321. CQQEA
    6322. QQEAE
    6323. QEAEE
    6324. EAEED
    6325. AEEDC
    6326. EEDCS
    6327. EDCSQ
    6328. DCSQV
    6329. CSQVA
    6330. SQVAD
    6331. QVADT
    6332. VADTC
    6333. ADTCV
    6334. DTCVF
    6335. TCVFY
    6336. CVFYS
    6337. VFYSY
    6338. FYSYA
    6339. YSYAE
    6340. SYAEG
    6341. YAEGL
    6342. AEGLE
    6343. EGLEH
    6344. GLEHA
    6345. LEHAR
    6346. EHARD
    6347. HARDE
    6348. ARDEG
    6349. RDEGK
    6350. DEGKL
    6351. EGKLT
    6352. GKLTL
    6353. KLTLV
    6354. LTLVV
    6355. TLVVL
    6356. LVVLL
    6357. VVLLD
    6358. VLLDT
    6359. LLDTS
    6360. LDTSG
    6361. DTSGY
    6362. TSGYS
    6363. SGYSF
    6364. GYSFE
    6365. YSFET
    6366. SFETL
    6367. FETLA
    6368. ETLAD
    6369. TLADA
    6370. LADAA
    6371. ADAAH
    6372. DAAHA
    6373. AAHAM
    6374. AHAME
    6375. HAMES
    6376. AMESS
    6377. MESSL
    6378. ESSLL
    6379. SSLLS
    6380. SLLST
    6381. LLSTF
    6382. LSTFA
    6383. STFAD
    6384. TFADF
    6385. FADFV
    6386. ADFVV
    6387. DFVVL
    6388. FVVLS
    6389. VVLSR
    6390. VLSRR
    6391. LSRRE
    6392. SRREA
    6393. RREAV
    6394. REAVP
    6395. EAVPL
    6396. AVPLI
    6397. VPLIY
    6398. PLIYP
    6399. LIYPP
    6400. IYPPV
    6401. YPPVP
    6402. PPVPD
    6403. PVPDP
    6404. VPDPM
    6405. PDPMV
    6406. DPMVG
    6407. PMVGE
    6408. MVGEI
    6409. VGEIA
    6410. GEIAL
    6411. EIALF
    6412. IALFL
    6413. ALFLE
    6414. LFLEA
    6415. FLEAF
    6416. LEAFS
    6417. EAFSD
    6418. AFSDQ
    6419. FSDQT
    6420. SDQTF
    6421. DQTFP
    6422. QTFPS
    6423. TFPSQ
    6424. FPSQP
    6425. PSQPV
    6426. SQPVI
    6427. QPVIV
    6428. PVIVT
    6429. VIVTL
    6430. IVTLA
    6431. VTLAI
    6432. TLAIG
    6433. LAIGA
    6434. AIGAS
    6435. IGASS
    6436. GASSA
    6437. ASSAE
    6438. SSAEI
    6439. SAEIM
    6440. AEIMD
    6441. EIMDI
    6442. IMDIT
    6443. MDITE
    6444. DITEI
    6445. ITEIP
    6446. TEIPS
    6447. EIPSI
    6448. IPSIN
    6449. PSINP
    6450. SINPE
    6451. INPEF
    6452. NPEFV
    6453. PEFVE
    5-mer peptides of CT621 (hypothetical protein,
    832 amino acids), ACCESSION# NP 220138.1,
    GI: 15605352 (SEQ ID NOS: 6454-7281)
    6454. MNRIH
    6455. NRIHR
    6456. RIHRT
    6457. IHRTQ
    6458. HRTQG
    6459. RTQGS
    6460. TQGSL
    6461. QGSLT
    6462. GSLTD
    6463. SLTDY
    6464. LTDYN
    6465. TDYNS
    6466. DYNST
    6467. YNSTL
    6468. NSTLE
    6469. STLEA
    6470. TLEAI
    6471. LEAIA
    6472. EAIAK
    6473. AIAKK
    6474. IAKKI
    6475. AKKIA
    6476. KKIAK
    6477. KIAKP
    6478. IAKPD
    6479. AKPDS
    6480. KPDSA
    6481. PDSAT
    6482. DSATI
    6483. SATIV
    6484. ATIVS
    6485. TIVSQ
    6486. IVSQV
    6487. VSQVA
    6488. SQVAQ
    6489. QVAQY
    6490. VAQYE
    6491. AQYEQ
    6492. QYEQF
    6493. YEQFK
    6494. EQFKM
    6495. QFKME
    6496. FKMEQ
    6497. KMEQE
    6498. MEQEA
    6499. EQEAL
    6500. QEALK
    6501. EALKA
    6502. ALKAL
    6503. LKALL
    6504. KALLV
    6505. ALLVS
    6506. LLVSF
    6507. LVSFD
    6508. VSFDQ
    6509. SFDQK
    6510. FDQKA
    6511. DQKAD
    6512. QKADQ
    6513. KADQR
    6514. ADQRY
    6515. DQRYR
    6516. QRYRN
    6517. RYRNL
    6518. YRNLI
    6519. RNLIQ
    6520. NLIQR
    6521. LIQRL
    6522. IQRLE
    6523. QRLEQ
    6524. RLEQL
    6525. LEQLD
    6526. EQLDV
    6527. QLDVD
    6528. LDVDR
    6529. DVDRQ
    6530. VDRQT
    6531. DRQTG
    6532. RQTGR
    6533. QTGRS
    6534. TGRST
    6535. GRSTE
    6536. RSTES
    6537. STESQ
    6538. TESQH
    6539. ESQHI
    6540. SQHIQ
    6541. QHIQE
    6542. HIQEK
    6543. IQEKP
    6544. QEKPM
    6545. EKPMA
    6546. KPMAS
    6547. PMASL
    6548. MASLQ
    6549. ASLQS
    6550. SLQSE
    6551. LQSEN
    6552. QSENQ
    6553. SENQV
    6554. ENQVV
    6555. NQVVA
    6556. QVVAQ
    6557. VVAQA
    6558. VAQAV
    6559. AQAVV
    6560. QAVVQ
    6561. AVVQS
    6562. VVQSD
    6563. VQSDS
    6564. QSDSS
    6565. SDSSM
    6566. DSSMP
    6567. SSMPI
    6568. SMPIF
    6569. MPIFT
    6570. PIFTG
    6571. IFTGI
    6572. FTGIK
    6573. TGIKQ
    6574. GIKQS
    6575. IKQSW
    6576. KQSWA
    6577. QSWAV
    6578. SWAVR
    6579. WAVRL
    6580. AVRLV
    6581. VRLVQ
    6582. RLVQG
    6583. LVQGI
    6584. VQGIR
    6585. QGIRE
    6586. GIREI
    6587. IREIL
    6588. REILD
    6589. EILDQ
    6590. ILDQV
    6591. LDQVL
    6592. DQVLV
    6593. QVLVD
    6594. VLVDT
    6595. LVDTS
    6596. VDTSL
    6597. DTSLF
    6598. TSLFT
    6599. SLFTE
    6600. LFTEE
    6601. FTEEE
    6602. TEEER
    6603. EEERG
    6604. EERGD
    6605. ERGDL
    6606. RGDLL
    6607. GDLLA
    6608. DLLAI
    6609. LLAIR
    6610. LAIRM
    6611. AIRMD
    6612. IRMDA
    6613. RMDAA
    6614. MDAAS
    6615. DAASL
    6616. AASLQ
    6617. ASLQD
    6618. SLQDK
    6619. LQDKQ
    6620. QDKQE
    6621. DKQER
    6622. KQERL
    6623. QERLS
    6624. ERLST
    6625. RLSTE
    6626. LSTED
    6627. STEDI
    6628. TEDIR
    6629. EDIRS
    6630. DIRSL
    6631. IRSLL
    6632. RSLLS
    6633. SLLSL
    6634. LLSLS
    6635. LSLSN
    6636. SLSND
    6637. LSNDV
    6638. SNDVM
    6639. NDVMR
    6640. DVMRV
    6641. VMRVL
    6642. MRVLQ
    6643. RVLQK
    6644. VLQKA
    6645. LQKAS
    6646. QKASV
    6647. KASVS
    6648. ASVSS
    6649. SVSST
    6650. VSSTR
    6651. SSTRQ
    6652. STRQL
    6653. TRQLE
    6654. RQLEL
    6655. QLELI
    6656. LELIQ
    6657. ELIQS
    6658. LIQSL
    6659. IQSLI
    6660. QSLID
    6661. SLIDI
    6662. LIDIF
    6663. IDIFG
    6664. DIFGT
    6665. IFGTE
    6666. FGTEE
    6667. GTEEN
    6668. TEENL
    6669. EENLE
    6670. ENLEQ
    6671. NLEQS
    6672. LEQSF
    6673. EQSFA
    6674. QSFAQ
    6675. SFAQV
    6676. FAQVR
    6677. AQVRL
    6678. QVRLE
    6679. VRLEN
    6680. RLENF
    6681. LENFQ
    6682. ENFQA
    6683. NFQAI
    6684. FQAIL
    6685. QAILS
    6686. AILSV
    6687. ILSVI
    6688. LSVIK
    6689. SVIKE
    6690. VIKER
    6691. IKERL
    6692. KERLT
    6693. ERLTE
    6694. RLTEE
    6695. LTEEE
    6696. TEEEF
    6697. EEEFR
    6698. EEFRV
    6699. EFRVF
    6700. FRVFQ
    6701. RVFQE
    6702. VFQEV
    6703. FQEVS
    6704. QEVSE
    6705. EVSEE
    6706. VSEEI
    6707. SEEIS
    6708. EEISS
    6709. EISSI
    6710. ISSIQ
    6711. SSIQR
    6712. SIQRT
    6713. IQRTS
    6714. QRTSE
    6715. RTSES
    6716. TSESH
    6717. SESHL
    6718. ESHLS
    6719. SHLSP
    6720. HLSPE
    6721. LSPEH
    6722. SPEHI
    6723. PEHIE
    6724. EHIEA
    6725. HIEAI
    6726. IEAIA
    6727. EAIAR
    6728. AIARV
    6729. IARVG
    6730. ARVGG
    6731. RVGGH
    6732. VGGHL
    6733. GGHLS
    6734. GHLSA
    6735. HLSAK
    6736. LSAKI
    6737. SAKIV
    6738. AKIVE
    6739. KIVES
    6740. IVESE
    6741. VESEL
    6742. ESELK
    6743. SELKA
    6744. ELKAS
    6745. LKASQ
    6746. KASQK
    6747. ASQKV
    6748. SQKVD
    6749. QKVDL
    6750. KVDLC
    6751. VDLCQ
    6752. DLCQR
    6753. LCQRI
    6754. CQRIA
    6755. QRIAA
    6756. RIAAM
    6757. IAAMY
    6758. AAMYQ
    6759. AMYQE
    6760. MYQEQ
    6761. YQEQV
    6762. QEQVD
    6763. EQVDA
    6764. QVDAV
    6765. VDAVQ
    6766. DAVQA
    6767. AVQAY
    6768. VQAYH
    6769. QAYHS
    6770. AYHSL
    6771. YHSLE
    6772. HSLEQ
    6773. SLEQD
    6774. LEQDA
    6775. EQDAL
    6776. QDALF
    6777. DALFV
    6778. ALFVN
    6779. LFVNS
    6780. FVNSR
    6781. VNSRQ
    6782. NSRQH
    6783. SRQHS
    6784. RQHSH
    6785. QHSHF
    6786. HSHFV
    6787. SHFVQ
    6788. HFVQV
    6789. FVQVI
    6790. VQVIS
    6791. QVISL
    6792. VISLV
    6793. ISLVS
    6794. SLVSS
    6795. LVSSL
    6796. VSSLM
    6797. SSLMH
    6798. SLMHS
    6799. LMHSL
    6800. MHSLS
    6801. HSLSP
    6802. SLSPT
    6803. LSPTS
    6804. SPTSE
    6805. PTSEE
    6806. TSEEE
    6807. SEEER
    6808. EEERI
    6809. EERIL
    6810. ERILL
    6811. RILLN
    6812. ILLNP
    6813. LLNPA
    6814. LNPAM
    6815. NPAMM
    6816. PAMMV
    6817. AMMVS
    6818. MMVSV
    6819. MVSVL
    6820. VSVLP
    6821. SVLPT
    6822. VLPTV
    6823. LPTVR
    6824. PTVRA
    6825. TVRAI
    6826. VRAIG
    6827. RAIGL
    6828. AIGLR
    6829. IGLRF
    6830. GLRFD
    6831. LRFDF
    6832. RFDFL
    6833. FDFLT
    6834. DFLTA
    6835. FLTAE
    6836. LTAEQ
    6837. TAEQQ
    6838. AEQQQ
    6839. EQQQM
    6840. QQQMV
    6841. QQMVN
    6842. QMVNA
    6843. MVNAA
    6844. VNAAV
    6845. NAAVS
    6846. AAVSS
    6847. AVSSL
    6848. VSSLQ
    6849. SSLQQ
    6850. SLQQQ
    6851. LQQQQ
    6852. QQQQL
    6853. QQQLD
    6854. QQLDE
    6855. QLDEF
    6856. LDEFL
    6857. DEFLG
    6858. EFLGV
    6859. FLGVL
    6860. LGVLC
    6861. GVLCA
    6862. VLCAH
    6863. LCAHL
    6864. CAHLV
    6865. AHLVV
    6866. HLVVV
    6867. LVVVN
    6868. VVVNC
    6869. VVNCQ
    6870. VNCQN
    6871. NCQNK
    6872. CQNKE
    6873. QNKET
    6874. NKETG
    6875. KETGL
    6876. ETGLL
    6877. TGLLE
    6878. GLLEG
    6879. LLEGL
    6880. LEGLE
    6881. EGLEE
    6882. GLEES
    6883. LEESF
    6884. EESFS
    6885. ESFSE
    6886. SFSET
    6887. FSETL
    6888. SETLS
    6889. ETLSG
    6890. TLSGL
    6891. LSGLS
    6892. SGLSN
    6893. GLSNN
    6894. LSNNF
    6895. SNNFV
    6896. NNFVL
    6897. NFVLT
    6898. FVLTA
    6899. VLTAK
    6900. LTAKM
    6901. TAKMQ
    6902. AKMQD
    6903. KMQDI
    6904. MQDIL
    6905. QDILQ
    6906. DILQV
    6907. ILQVC
    6908. LQVCS
    6909. QVCSL
    6910. VCSLQ
    6911. CSLQG
    6912. SLQGF
    6913. LQGFV
    6914. QGFVT
    6915. GFVTL
    6916. FVTLA
    6917. VTLAN
    6918. TLANG
    6919. LANGD
    6920. ANGDR
    6921. NGDRY
    6922. GDRYE
    6923. DRYEL
    6924. RYELF
    6925. YELFS
    6926. ELFSY
    6927. LFSYN
    6928. FSYND
    6929. SYNDS
    6930. YNDSG
    6931. NDSGE
    6932. DSGEA
    6933. SGEAV
    6934. GEAVC
    6935. EAVCD
    6936. AVCDE
    6937. VCDEI
    6938. CDEIA
    6939. DEIAL
    6940. EIALG
    6941. IALGD
    6942. ALGDG
    6943. LGDGF
    6944. GDGFH
    6945. DGFHK
    6946. GFHKV
    6947. FHKVL
    6948. HKVLG
    6949. KVLGT
    6950. VLGTM
    6951. LGTML
    6952. GTMLA
    6953. TMLAV
    6954. MLAVA
    6955. LAVAL
    6956. AVALS
    6957. VALSQ
    6958. ALSQA
    6959. LSQAE
    6960. SQAEV
    6961. QAEVF
    6962. AEVFK
    6963. EVFKQ
    6964. VFKQE
    6965. FKQEC
    6966. KQECD
    6967. QECDR
    6968. ECDRF
    6969. CDRFI
    6970. DRFIL
    6971. RFILQ
    6972. FILQA
    6973. ILQAD
    6974. LQADS
    6975. QADSE
    6976. ADSEK
    6977. DSEKN
    6978. SEKNM
    6979. EKNMI
    6980. KNMIH
    6981. NMIHK
    6982. MIHKR
    6983. IHKRM
    6984. HKRMV
    6985. KRMVQ
    6986. RMVQG
    6987. MVQGE
    6988. VQGEQ
    6989. QGEQK
    6990. GEQKS
    6991. EQKSL
    6992. QKSLF
    6993. KSLFL
    6994. SLFLT
    6995. LFLTK
    6996. FLTKM
    6997. LTKMQ
    6998. TKMQT
    6999. KMQTE
    7000. MQTEL
    7001. QTELN
    7002. TELNA
    7003. ELNAG
    7004. LNAGK
    7005. NAGKT
    7006. AGKTI
    7007. GKTIA
    7008. KTIAQ
    7009. TIAQT
    7010. IAQTK
    7011. AQTKE
    7012. QTKEV
    7013. TKEVE
    7014. KEVEA
    7015. EVEAS
    7016. VEASP
    7017. EASPL
    7018. ASPLP
    7019. SPLPS
    7020. PLPSA
    7021. LPSAV
    7022. PSAVA
    7023. SAVAS
    7024. AVASV
    7025. VASVL
    7026. ASVLI
    7027. SVLID
    7028. VLIDH
    7029. LIDHY
    7030. IDHYM
    7031. DHYMP
    7032. HYMPK
    7033. YMPKE
    7034. MPKEV
    7035. PKEVE
    7036. KEVEF
    7037. EVEFL
    7038. VEFLE
    7039. EFLEK
    7040. FLEKI
    7041. LEKIS
    7042. EKISS
    7043. KISSR
    7044. ISSRL
    7045. SSRLY
    7046. SRLYY
    7047. RLYYG
    7048. LYYGN
    7049. YYGNK
    7050. YGNKG
    7051. GNKGS
    7052. NKGSD
    7053. KGSDI
    7054. GSDIG
    7055. SDIGN
    7056. DIGNT
    7057. IGNTI
    7058. GNTIL
    7059. NTILD
    7060. TILDA
    7061. ILDAI
    7062. LDAIS
    7063. DAISL
    7064. AISLY
    7065. ISLYV
    7066. SLYVN
    7067. LYVNS
    7068. YVNSA
    7069. VNSAT
    7070. NSATY
    7071. SATYF
    7072. ATYFG
    7073. TYFGF
    7074. YFGFA
    7075. FGFAN
    7076. GFANY
    7077. FANYI
    7078. ANYIG
    7079. NYIGQ
    7080. YIGQP
    7081. IGQPP
    7082. GQPPV
    7083. QPPVV
    7084. PPVVG
    7085. PVVGK
    7086. VVGKT
    7087. VGKTR
    7088. GKTRE
    7089. KTREN
    7090. TRENT
    7091. RENIF
    7092. ENIFA
    7093. NIFAG
    7094. IFAGS
    7095. FAGSA
    7096. AGSAD
    7097. GSADN
    7098. SADNA
    7099. ADNAK
    7100. DNAKA
    7101. NAKAK
    7102. AKAKL
    7103. KAKLD
    7104. AKLDE
    7105. KLDEE
    7106. LDEEK
    7107. DEEKK
    7108. EEKKQ
    7109. EKKQV
    7110. KKQVD
    7111. KQVDV
    7112. QVDVF
    7113. VDVFL
    7114. DVFLE
    7115. VFLEI
    7116. FLEIT
    7117. LEITE
    7118. EITEA
    7119. ITEAA
    7120. TEAAK
    7121. EAAKT
    7122. AAKTT
    7123. AKTTV
    7124. KTTVT
    7125. TTVTN
    7126. TVTNQ
    7127. VTNQQ
    7128. TNQQS
    7129. NQQSA
    7130. QQSAV
    7131. QSAVT
    7132. SAVTN
    7133. AVTND
    7134. VTNDD
    7135. TNDDK
    7136. NDDKL
    7137. DDKLS
    7138. DKLST
    7139. KLSTE
    7140. LSTEQ
    7141. STEQK
    7142. TEQKA
    7143. EQKAK
    7144. QKAKI
    7145. KAKIK
    7146. AKIKA
    7147. KIKAE
    7148. IKAEL
    7149. KAELT
    7150. AELTQ
    7151. ELTQY
    7152. LTQYT
    7153. TQYTD
    7154. QYTDM
    7155. YTDML
    7156. TDMLN
    7157. DMLNA
    7158. MLNAI
    7159. LNAIS
    7160. NAISN
    7161. AISNS
    7162. ISNSL
    7163. SNSLT
    7164. NSLTS
    7165. SLTSL
    7166. LTSLK
    7167. TSLKT
    7168. SLKTQ
    7169. LKTQL
    7170. KTQLA
    7171. TQLAP
    7172. QLAPL
    7173. LAPLS
    7174. APLSV
    7175. PLSVS
    7176. LSVST
    7177. SVSTV
    7178. VSTVE
    7179. STVEG
    7180. TVEGV
    7181. VEGVD
    7182. EGVDG
    7183. GVDGV
    7184. VDGVF
    7185. DGVFE
    7186. GVFEV
    7187. VFEVK
    7188. FEVKN
    7189. EVKNG
    7190. VKNGI
    7191. KNGIP
    7192. NGIPG
    7193. GIPGE
    7194. IPGEN
    7195. PGENG
    7196. GENGK
    7197. ENGKN
    7198. NGKNW
    7199. GKNWR
    7200. KNWRL
    7201. NWRLV
    7202. WRLVL
    7203. RLVLQ
    7204. LVLQT
    7205. VLQTL
    7206. LQTLE
    7207. QTLED
    7208. TLEDT
    7209. LEDTV
    7210. EDTVV
    7211. DTVVS
    7212. TVVSG
    7213. VVSGE
    7214. VSGEV
    7215. SGEVG
    7216. GEVGS
    7217. EVGSP
    7218. VGSPT
    7219. GSPTN
    7220. SPTNI
    7221. PTNIG
    7222. TNIGM
    7223. NIGMF
    7224. IGMFQ
    7225. GMFQM
    7226. MFQMQ
    7227. FQMQA
    7228. QMQAL
    7229. MQALV
    7230. QALVH
    7231. ALVHL
    7232. LVHLN
    7233. VHLNQ
    7234. HLNQQ
    7235. LNQQA
    7236. NQQAY
    7237. QQAYA
    7238. QAYAD
    7239. AYADM
    7240. YADMG
    7241. ADMGQ
    7242. DMGQN
    7243. MGQNF
    7244. GQNFQ
    7245. QNFQL
    7246. NFQLE
    7247. FQLEL
    7248. QLELQ
    7249. LELQM
    7250. ELQMH
    7251. LQMHL
    7252. QMHLT
    7253. MHLTS
    7254. HLTSM
    7255. LTSMQ
    7256. TSMQQ
    7257. SMQQE
    7258. MQQEW
    7259. QQEWM
    7260. QEWMV
    7261. EWMVV
    7262. WMVVA
    7263. MVVAT
    7264. VVATS
    7265. VATSL
    7266. ATSLQ
    7267. TSLQL
    7268. SLQLL
    7269. LQLLN
    7270. QLLNQ
    7271. LLNQI
    7272. LNQIY
    7273. NQIYL
    7274. QIYLG
    7275. IYLGL
    7276. YLGLA
    7277. LGLAR
    7278. GLARN
    7279. LARNL
    7280. ARNLL
    7281. RNLLR
    5-mer peptides of CT622 (hypothetical protein,
    647 amino acids), ACCESSION# NP 220139.1,
    GI: 15605353 (SEQ ID NOS: 7282-7924)
    7282. MESGP
    7283. ESGPE
    7284. SGPES
    7285. GPESV
    7286. PESVS
    7287. ESVSS
    7288. SVSSN
    7289. VSSNQ
    7290. SSNQS
    7291. SNQSS
    7292. NQSSM
    7293. QSSMN
    7294. SSMNP
    7295. SMNPI
    7296. MNPII
    7297. NPIIN
    7298. PIING
    7299. IINGQ
    7300. INGQI
    7301. NGQIA
    7302. GQIAS
    7303. QIASN
    7304. IASNS
    7305. ASNSE
    7306. SNSET
    7307. NSETK
    7308. SETKE
    7309. ETKES
    7310. TKEST
    7311. KESTK
    7312. ESTKE
    7313. STKES
    7314. TKESE
    7315. KESEA
    7316. ESEAS
    7317. SEASP
    7318. EASPS
    7319. ASPSA
    7320. SPSAS
    7321. PSASS
    7322. SASSS
    7323. ASSSV
    7324. SSSVS
    7325. SSVSS
    7326. SVSSW
    7327. VSSWS
    7328. SSWSF
    7329. SWSFL
    7330. WSFLS
    7331. SFLSS
    7332. FLSSA
    7333. LSSAK
    7334. SSAKH
    7335. SAKHA
    7336. AKHAL
    7337. KHALI
    7338. HALIS
    7339. ALISL
    7340. LISLR
    7341. ISLRD
    7342. SLRDA
    7343. LRDAI
    7344. RDAIL
    7345. DAILN
    7346. AILNK
    7347. ILNKN
    7348. LNKNS
    7349. NKNSS
    7350. KNSSP
    7351. NSSPT
    7352. SSPTD
    7353. SPTDS
    7354. PTDSL
    7355. TDSLS
    7356. DSLSQ
    7357. SLSQL
    7358. LSQLE
    7359. SQLEA
    7360. QLEAS
    7361. LEAST
    7362. EASTS
    7363. ASTST
    7364. STSTS
    7365. TSTST
    7366. STSTV
    7367. TSTVT
    7368. STVTR
    7369. TVTRV
    7370. VTRVA
    7371. TRVAA
    7372. RVAAR
    7373. VAARD
    7374. AARDY
    7375. ARDYN
    7376. RDYNE
    7377. DYNEA
    7378. YNEAK
    7379. NEAKS
    7380. EAKSN
    7381. AKSNF
    7382. KSNFD
    7383. SNFDT
    7384. NFDTA
    7385. FDTAK
    7386. DTAKS
    7387. TAKSG
    7388. AKSGL
    7389. KSGLE
    7390. SGLEN
    7391. GLENA
    7392. LENAT
    7393. ENATT
    7394. NATTL
    7395. ATTLA
    7396. TTLAE
    7397. TLAEY
    7398. LAEYE
    7399. AEYET
    7400. EYETK
    7401. YETKM
    7402. ETKMA
    7403. TKMAD
    7404. KMADL
    7405. MADLM
    7406. ADLMA
    7407. DLMAA
    7408. LMAAL
    7409. MAALQ
    7410. AALQD
    7411. ALQDM
    7412. LQDME
    7413. QDMER
    7414. DMERL
    7415. MERLA
    7416. ERLAK
    7417. RLAKQ
    7418. LAKQK
    7419. AKQKA
    7420. KQKAE
    7421. QKAEV
    7422. KAEVT
    7423. AEVTR
    7424. EVTRI
    7425. VTRIK
    7426. TRIKE
    7427. RIKEA
    7428. IKEAL
    7429. KEALQ
    7430. EALQE
    7431. ALQEK
    7432. LQEKQ
    7433. QEKQE
    7434. EKQEV
    7435. KQEVI
    7436. QEVID
    7437. EVIDK
    7438. VIDKL
    7439. IDKLN
    7440. DKLNQ
    7441. KLNQL
    7442. LNQLV
    7443. NQLVK
    7444. QLVKL
    7445. LVKLE
    7446. VKLEK
    7447. KLEKQ
    7448. LEKQN
    7449. EKQNQ
    7450. KQNQT
    7451. QNQTL
    7452. NQTLK
    7453. QTLKE
    7454. TLKET
    7455. LKETL
    7456. KETLT
    7457. ETLTT
    7458. TLTTT
    7459. LTTTD
    7460. TTTDS
    7461. TTDSA
    7462. TDSAD
    7463. DSADQ
    7464. SADQI
    7465. ADQIP
    7466. DQIPA
    7467. QIPAI
    7468. IPAIN
    7469. PAINS
    7470. AINSQ
    7471. INSQL
    7472. NSQLE
    7473. SQLEI
    7474. QLEIN
    7475. LEINK
    7476. EINKN
    7477. INKNS
    7478. NKNSA
    7479. KNSAD
    7480. NSADQ
    7481. SADQI
    7482. ADQII
    7483. DQIIK
    7484. QIIKD
    7485. IIKDL
    7486. IKDLE
    7487. KDLEG
    7488. DLEGQ
    7489. LEGQN
    7490. EGQNI
    7491. GQNIS
    7492. QNISY
    7493. NISYE
    7494. ISYEA
    7495. SYEAV
    7496. YEAVL
    7497. EAVLT
    7498. AVLTN
    7499. VLTNA
    7500. LTNAG
    7501. TNAGE
    7502. NAGEV
    7503. AGEVI
    7504. GEVIK
    7505. EVIKA
    7506. VIKAS
    7507. IKASS
    7508. KASSE
    7509. ASSEA
    7510. SSEAG
    7511. SEAGI
    7512. EAGIK
    7513. AGIKL
    7514. GIKLG
    7515. IKLGQ
    7516. KLGQA
    7517. LGQAL
    7518. GQALQ
    7519. QALQS
    7520. ALQSI
    7521. LQSIV
    7522. QSIVD
    7523. SIVDA
    7524. IVDAG
    7525. VDAGD
    7526. DAGDQ
    7527. AGDQS
    7528. GDQSQ
    7529. DQSQA
    7530. QSQAA
    7531. SQAAV
    7532. QAAVL
    7533. AAVLQ
    7534. AVLQA
    7535. VLQAQ
    7536. LQAQQ
    7537. QAQQN
    7538. AQQNN
    7539. QQNNS
    7540. QNNSP
    7541. NNSPD
    7542. NSPDN
    7543. SPDNI
    7544. PDNIA
    7545. DNIAA
    7546. NIAAT
    7547. IAATK
    7548. AATKK
    7549. ATKKL
    7550. TKKLI
    7551. KKLID
    7552. KLIDA
    7553. LIDAA
    7554. IDAAE
    7555. DAAET
    7556. AAETK
    7557. AETKV
    7558. ETKVN
    7559. TKVNE
    7560. KVNEL
    7561. VNELK
    7562. NELKQ
    7563. ELKQE
    7564. LKQEH
    7565. KQEHT
    7566. QEHTG
    7567. EHTGL
    7568. HTGLT
    7569. TGLTD
    7570. GLTDS
    7571. LTDSP
    7572. TDSPL
    7573. DSPLV
    7574. SPLVK
    7575. PLVKK
    7576. LVKKA
    7577. VKKAE
    7578. KKAEE
    7579. KAEEQ
    7580. AEEQI
    7581. EEQIS
    7582. EQISQ
    7583. QISQA
    7584. ISQAQ
    7585. SQAQK
    7586. QAQKD
    7587. AQKDI
    7588. QKDIQ
    7589. KDIQE
    7590. DIQEI
    7591. IQEIK
    7592. QEIKP
    7593. EIKPS
    7594. IKPSG
    7595. KPSGS
    7596. PSGSD
    7597. SGSDI
    7598. GSDIP
    7599. SDIPI
    7600. DIPIV
    7601. IPIVG
    7602. PIVGP
    7603. IVGPS
    7604. VGPSG
    7605. GPSGS
    7606. PSGSA
    7607. SGSAA
    7608. GSAAS
    7609. SAASA
    7610. AASAG
    7611. ASAGS
    7612. SAGSA
    7613. AGSAV
    7614. GSAVG
    7615. SAVGA
    7616. AVGAL
    7617. VGALK
    7618. GALKS
    7619. ALKSS
    7620. LKSSN
    7621. KSSNN
    7622. SSNNS
    7623. SNNSG
    7624. NNSGR
    7625. NSGRI
    7626. SGRIS
    7627. GRISL
    7628. RISLL
    7629. ISLLL
    7630. SLLLD
    7631. LLLDD
    7632. LLDDV
    7633. LDDVD
    7634. DDVDN
    7635. DVDNE
    7636. VDNEM
    7637. DNEMA
    7638. NEMAA
    7639. EMAAI
    7640. MAAIA
    7641. AAIAM
    7642. AIAMQ
    7643. IAMQG
    7644. AMQGF
    7645. MQGFR
    7646. QGFRS
    7647. GFRSM
    7648. FRSMI
    7649. RSMIE
    7650. SMIEQ
    7651. MIEQF
    7652. IEQFN
    7653. EQFNV
    7654. QFNVN
    7655. FNVNN
    7656. NVNNP
    7657. VNNPA
    7658. NNPAT
    7659. NPATA
    7660. PATAK
    7661. ATAKE
    7662. TAKEL
    7663. AKELQ
    7664. KELQA
    7665. ELQAM
    7666. LQAME
    7667. QAMEA
    7668. AMEAQ
    7669. MEAQL
    7670. EAQLT
    7671. AQLTA
    7672. QLTAM
    7673. LTAMS
    7674. TAMSD
    7675. AMSDQ
    7676. MSDQL
    7677. SDQLV
    7678. DQLVG
    7679. QLVGA
    7680. LVGAD
    7681. VGADG
    7682. GADGE
    7683. ADGEL
    7684. DGELP
    7685. GELPA
    7686. ELPAE
    7687. LPAEI
    7688. PAEIQ
    7689. AEIQA
    7690. EIQAI
    7691. IQAIK
    7692. QAIKD
    7693. AIKDA
    7694. IKDAL
    7695. KDALA
    7696. DALAQ
    7697. ALAQA
    7698. LAQAL
    7699. AQALK
    7700. QALKQ
    7701. ALKQP
    7702. LKQPS
    7703. KQPST
    7704. QPSTD
    7705. PSTDG
    7706. STDGL
    7707. TDGLA
    7708. DGLAT
    7709. GLATA
    7710. LATAM
    7711. ATAMG
    7712. TAMGQ
    7713. AMGQV
    7714. MGQVA
    7715. GQVAF
    7716. QVAFA
    7717. VAFAA
    7718. AFAAA
    7719. FAAAK
    7720. AAAKV
    7721. AAKVG
    7722. AKVGG
    7723. KVGGG
    7724. VGGGS
    7725. GGGSA
    7726. GGSAG
    7727. GSAGT
    7728. SAGTA
    7729. AGTAG
    7730. GTAGT
    7731. TAGTV
    7732. AGTVQ
    7733. GTVQM
    7734. TVQMN
    7735. VQMNV
    7736. QMNVK
    7737. MNVKQ
    7738. NVKQL
    7739. VKQLY
    7740. KQLYK
    7741. QLYKT
    7742. LYKTA
    7743. YKTAF
    7744. KTAFS
    7745. TAFSS
    7746. AFSST
    7747. FSSTS
    7748. SSTSS
    7749. STSSS
    7750. TSSSS
    7751. SSSSY
    7752. SSSYA
    7753. SSYAA
    7754. SYAAA
    7755. YAAAL
    7756. AAALS
    7757. AALSD
    7758. ALSDG
    7759. LSDGY
    7760. SDGYS
    7761. DGYSA
    7762. GYSAY
    7763. YSAYK
    7764. SAYKT
    7765. AYKTL
    7766. YKTLN
    7767. KTLNS
    7768. TLNSL
    7769. LNSLY
    7770. NSLYS
    7771. SLYSE
    7772. LYSES
    7773. YSESR
    7774. SESRS
    7775. ESRSG
    7776. SRSGV
    7777. RSGVQ
    7778. SGVQS
    7779. GVQSA
    7780. VQSAI
    7781. QSAIS
    7782. SAISQ
    7783. AISQT
    7784. ISQTA
    7785. SQTAN
    7786. QTANP
    7787. TANPA
    7788. ANPAL
    7789. NPALS
    7790. PALSR
    7791. ALSRS
    7792. LSRSV
    7793. SRSVS
    7794. RSVSR
    7795. SVSRS
    7796. VSRSG
    7797. SRSGI
    7798. RSGIE
    7799. SGIES
    7800. GIESQ
    7801. IESQG
    7802. ESQGR
    7803. SQGRS
    7804. QGRSA
    7805. GRSAD
    7806. RSADA
    7807. SADAS
    7808. ADASQ
    7809. DASQR
    7810. ASQRA
    7811. SQRAA
    7812. QRAAE
    7813. RAAET
    7814. AAETI
    7815. AETIV
    7816. ETIVR
    7817. TIVRD
    7818. IVRDS
    7819. VRDSQ
    7820. RDSQT
    7821. DSQTL
    7822. SQTLG
    7823. QTLGD
    7824. TLGDV
    7825. LGDVY
    7826. GDVYS
    7827. DVYSR
    7828. VYSRL
    7829. YSRLQ
    7830. SRLQV
    7831. RLQVL
    7832. LQVLD
    7833. QVLDS
    7834. VLDSL
    7835. LDSLM
    7836. DSLMS
    7837. SLMST
    7838. LMSTI
    7839. MSTIV
    7840. STIVS
    7841. TIVSN
    7842. IVSNP
    7843. VSNPQ
    7844. SNPQV
    7845. NPQVN
    7846. PQVNQ
    7847. QVNQE
    7848. VNQEE
    7849. NQEEI
    7850. QEEIM
    7851. EEIMQ
    7852. EIMQK
    7853. IMQKL
    7854. MQKLT
    7855. QKLTA
    7856. KLTAS
    7857. LTASI
    7858. TASIS
    7859. ASISK
    7860. SISKA
    7861. ISKAP
    7862. SKAPQ
    7863. KAPQF
    7864. APQFG
    7865. PQFGY
    7866. QFGYP
    7867. FGYPA
    7868. GYPAV
    7869. YPAVQ
    7870. PAVQN
    7871. AVQNS
    7872. VQNSA
    7873. QNSAD
    7874. NSADS
    7875. SADSL
    7876. ADSLQ
    7877. DSLQK
    7878. SLQKF
    7879. LQKFA
    7880. QKFAA
    7881. KFAAQ
    7882. FAAQL
    7883. AAQLE
    7884. AQLER
    7885. QLERE
    7886. LEREF
    7887. EREFV
    7888. REFVD
    7889. EFVDG
    7890. FVDGE
    7891. VDGER
    7892. DGERS
    7893. GERSL
    7894. ERSLA
    7895. RSLAE
    7896. SLAES
    7897. LAESR
    7898. AESRE
    7899. ESREN
    7900. SRENA
    7901. RENAF
    7902. ENAFR
    7903. NAFRK
    7904. AFRKQ
    7905. FRKQP
    7906. RKQPA
    7907. KQPAF
    7908. QPAFI
    7909. PAFIQ
    7910. AFIQQ
    7911. FIQQV
    7912. IQQVL
    7913. QQVLV
    7914. QVLVN
    7915. VLVNI
    7916. LVNIA
    7917. VNIAS
    7918. NIASL
    7919. IASLF
    7920. ASLFS
    7921. SLFSG
    7922. LFSGY
    7923. FSGYL
    7924. SGYLS

    Amino Acid Sequences of Chlamydia trachomatis Proteins
    CT443, CT381, CT875, CT147, HSP60, CT376 and CT557, CT858 (CPAF), Pgp3, CT823 (cHtrA), CT681 (14014P), CT119 (IncA) and CT813 (All sequences are available from this website: www.ncbi.nlm.nih.gov/protein/15605169)
  • CT443 (OmcB or CRP60, 553 amino acids), ACCESSION#: NP 219955.1,
    GI: 15605169
    (SEQ ID NO: 7925)
    1 mrigdpmnkl irravtifav tsvaslfasg vletsmaesl stnvisladt kakdntshks
    61 kkarknhske tpvdrkevap vheskatgpk qdscfgrmyt vkvnddrnve itqavpeyat
    121 vgspypieit atgkrdcvdv iitqqlpcea efvrsdpatt ptadgklvwk idrlgqgeks
    181 kitvwvkplk egccftaatv cacpeirsvt kcgqpaicvk qegpenaclr cpvvykiniv
    241 nqgtatarnv vvenpvpdgy ahssgqrvlt ftlgdmqpge hrtitvefcp lkrgratnia
    301 tvsycgghkn tasvttvine pcvqvsiaga dwsyvckpve yvisvsnpgd lvlrdvvved
    361 tlspgvtvle aagaqiscnk vvwtvkelnp geslqykylv raqtpgqftn nvvvkscsdc
    421 gtctscaeat tywkgvaath mcvvdtcdpv cvgentvyri cvtnrgsaed tnvslmlkfs
    481 kelqpvsfsg ptkgtitgnt vvfdslprlg sketvefsvt lkavsagdar geailssdtl
    541 tvpvsdtent hiy
    CT381 (ArtJ, 257 amino acids), ACCESSION# NP 219890.1, GI: 15605105
    (SEQ ID NO: 7926)
    1 mcikrkktwi aflavvcsfc ltgclkeggd snsekfivgt natyppfefv dkrgevvgfd
    61 idlareisnk lgktldvref sfdalilnlk qhridavitg msitpsrlke ilmipyygee
    121 ikhlvlvfkg enkhplpltq yrsvavqtgt ygeaylqsls evhirsfdst levlmevmhg
    181 kspvavleps iaqvvlkdfp alstatidlp edqwvlgygi gvasdrpala lkieaavqei
    241 rkegvlaele qkwglnn
    CT875 (hypothetical protein, 591 amino acids), ACCESSION#: NP 219502.1,
    GI: 15604718
    (SEQ ID NO: 7927)
    1 msirgvggng nsripshngd gsnrrsqntk gnnkvedrvc slyssrsnen respyavvdv
    61 ssmiestpts gettrasrgv fsrfqrglvr vadkvrravq cawssystrr ssatraaesg
    121 sssrtargas sgyreyspsa arglrlmftd fwrtrylrqt spmagvfgnl dvnearlmaa
    181 ytsecadhle anklagpdgv aaareiakrw eqrvrdlqdk gaarkllndp lgrrtpnyqs
    241 knpgeytvgn smfydgpqva nlqnvdtgfw ldmsnlsdvv lsreiqtglr aratleesmp
    301 mlenleerfr rlqetcdaar teieesgwtr esasrmegde aqgpsraqqa fqsfvnecns
    361 iefsfgsfge hvrvlcarvs rglaaageai rrcfscckgs thryaprddl spegaslaet
    421 larfaddmgi ergadgtydi plvddwrrgv psiegegsds iyeimmpiye vmdmdletrr
    481 sfavqqghyq dprasdydlp rasdydlprs pyptpplppr yqlqnmdvea gfreavyasf
    541 vagmynyvvt qpqeripnsq qvegilrdml tngsqtfrdl mrrwnrevdr e
    CT147 (hypothetical protein, 1449 amino acids), ACCESSION# NP 219650.1,
    GI: 15604866
    (SEQ ID NO: 7928)
    1 manpstpsfn hsdlslqgrl rassqqctqa gqgdpqplsp esrgltsnfs trrdlidvve
    61 esietakgse lkklriyeia lkiltiigaa ilfavplcml lgvplwipiv tcigvgiafs
    121 iakgclqkrc qqireeyral hlyhryllsn kdsidgtlls rfdirfrkae eklhgldldk
    181 reanhplead krydfaglah qryqvdaalg isssqdafwr gvaqqvksvk ddvvlgdkas
    241 tdlypiaqqa lqaagvgfsg aagkeslldl akslsslfaw gsqvgkdshe alqqyqmrfl
    301 sspilatwcg agfsasaqdf vlkgenildi asenhtkmqn aikrvqlvsv lgkmrnwkek
    361 idtliqnknl dqdslrklyq diekamhkvc iedgvstsiq tqvrkvtqky lrqdlqelln
    421 kkaplnesdl skmqkgissc anlvvtlles qlgtsgqtpi keveesiyrd liatilqmgs
    481 aaggvtplvd gvhkairegk alrselsram slhprqsflg vqsaveklqa firdpkwgas
    541 avhtsaeetl aqkqkfvsdl triqtsladw reryglfeet klnhivstdf vsrteafldt
    601 lknvaeacsl eqavaelkdc edamkadlth veqkmnptei esareefkrl meelagiqeq
    661 leqiaqpiye egvsgerlll ntvffhpevl rkkvqakeas lealtkgeqp sptkkktlkq
    721 lsegceyfss lvskinalkt ilegsrgkki asqdirqlig ltdelalels sfqqdslesl
    781 lygleglsip aasieqkkgs pksssiaekv vyashqrvhn gvkakvnrtl eafsqlikgl
    841 rgslrnamit kavvaavlsv afsclaialf svqltwlpim lcvlalvlea ipsalsiwve
    901 krnwkyevas lakqlvsdgr klpypdlgdq nikhlekird vygldgvael rvaeaallgv
    961 qklpeeqkqe slksavkalr adakvlnkkf kklpesyqpq hsevtgvqgv teqesrddvl
    1021 vaqdmaaiee lqdqyhaacl qfesystrfl aeqrkakfle ellvqkrrdv shlshqeahy
    1081 tqvvshlkel ismrkgastq haskeeistk mrellslddq llkahtaqdv nrdnsingql
    1141 qqqfkklsee gslqkvkall elnmclgnag qtlyhsrlkr evfeaslsgt srqllqyged
    1201 lfasydgsdr sallrfvlgs gyemiseass elkslrkrwk rsasqaaiap edyekvcrvl
    1261 erflkardsl rpklglplgk ssdatvglqh qirdnqrvka rvtacyqesc rnvlqhledw
    1321 vrktrqesae cqkvetkire fcqkagsken laestemlfs sleedlnkip ldvlrailrs
    1381 lsskvlhird qkleleklee qfaktnaivk akeaefekng evwhnqyqml ksqmeklesq
    1441 krrltdkke
    HSP60 (CT110, 544 amino acids), ACCESSION# AAS19616.1, GI: 42541742
    (SEQ ID NO: 7929)
    1 mvaknikyne earkkiqkgv ktlaeavkvt lgpkgrhvvi dksfgspqvt kdgvtvakev
    61 eladkhenmg aqmvkevask tadkagdgtt tatvlaeaiy teglrnvtag anpmdlkrgi
    121 dkavkvvvdq irkiskpvqh hkeiaqvati sanndaeign liaeamekvg kngsitveea
    181 kgfetvldvv egmnfnrgyl ssyfatnpet qecvledalv liydkkisgi kdflpvlqqv
    241 aesgrpllii aediegeala tivvnrirgg frvcavkapg fgdrrkamle diailtggql
    301 iseelgmkle nanlamlgka kkvivskedt tivegmgeke alearcesik kqiedsssdy
    361 dkeklqerla klsggvavir vgaateiemk ekkdrvddaq hatiaaveeg ilpgggtali
    421 rciptleafl pmltnedeqi garivlkals aplkqiaana gkegaiifqq vmsrsanegy
    481 dalrdaytdm leagildpak vtrsalesaa svagllltte aliaeipeek paaapampga
    541 gmdy
    CT376 (malate dehydrogenase, 326 amino acids) ACCESSION# NP 219885.1,
    GI: 15605100
    (SEQ ID NO: 7930)
    1 mvsqtvsvav tggtgqiays flfslahgdv fgldcgidlr iydipgtera lsgvrmeldd
    61 gafpllqrvq vttslhdafd gidaafligs vprgpgmerr dllkkngeif atqgkalntt
    121 akrdakifvv gnpvntncwi amnhaprllr knfhamlrld qnrmhsmlsh raevplsavs
    181 qvvvwgnhsa kqvpdftqal indrpiaeti adrdwlenim vpsvqsrgsa vieargkssa
    241 asaaralaea arsiyqpkeg ewfssgvcsd hnpyglpedl ifgfpcrmla tgeyeviprl
    301 pwdafirgkm qisldeilqe kasvsl
    CT557 (dihydrolipoamide dehydrogenase, 465 amino acids), ACCESSION#
    NP 220072.1, GI: 15605286
    (SEQ ID NO: 7931)
    1 mneafdcvvi gagpggyvaa itaaqaglkt aliekreagg tclnrgcips kallagaevv
    61 tqirhadqfg ihvegfsiny pamvqrkdsv vrsirdglng lirsnkitvf sgrgslisst
    121 evkilgenps vikahsiila tgseprafpg ipfsaespri lcstgvlnlk eipqkmaiig
    181 ggvigcefas lfhtlgsevs vieassqila lnnpdisktm fdkftrqglr fvleasysni
    241 edigdrvrlt ingnveeydy vlvsigrrin tenigldkag vicdergvip tdatmrtnvp
    301 niyaigditg kwqlahvash qgiiaarnia ghkeeidysa vpsviftfpe vasvglspta
    361 aqqqkipvkv tkfpfraigk avamgeadgf aaiishettq qilgayvigp hassliseit
    421 lavrneltlp ciyetihahp tlaevwaesa llavdtplhm ppakk
    CT858 (CPAF, total of 609 amino acids), ACCESSION# AAC68456.1, GI: 3329332
    (SEQ ID NO: 7932)
    1 mgfwrtsimk mnriwllllt fssaihspvq geslvcknal qdlsflehll qvkyapktwk
    61 eqylgwdlvq ssysaqqklr tqenpstsfc qqvladfigg lndfhagvtf faiesaylpy
    121 tvqkssdgrf yfvdimtfss eirvgdelle vdgapvqdvl atlygsnhkg taaeesaalr
    181 tlfsrmaslg hkvpsgrttl kirrpfgttr evrvkwryvp egvgdlatia psirapqlqk
    241 smrsffpkkd dafhrssslf yspmvphfwa elrnhyatsg lksgynigst dgflpvigpv
    301 iweseglfra yissvtdgdg kshkvgflri ptyswqdmed fdpsgpppwe efakiiqvfs
    361 sntealiidq tnnpggsvly lyallsmltd rplelpkhrm iltqdevvda ldwltllenv
    421 dtnvesrlal gdnmegytvd lqvaeylksf grqvincwsk gdielstpip lfgfekihph
    481 prvqyskpic vlineqdfsc adffpvvlkd ndralivgtr tagaggfvfn vqfpnrtgik
    541 tcsltgslav rehgafieni gvephidlpf tandirykgy seyldkvkkl vcqlinndgt
    601 iilaedgsf
    Pgp3 (plasmid-encoded secretion protein, 264 amino acids), ACCESSION#
    ADI51551.1, GI: 297749006
    (SEQ ID NO: 7933)
    1 mgnsgfylyn tencvfadni kvgqmteplk dqqiilgtks tpvaakmtas dgisltvsnn
    61 sstnasitig ldaekayqli leklgnqild giadtivdst vqdildkitt dpslgllkaf
    121 nnfpitnkiq cnglftpsni etllggteig kftvtpkssg smflvsadii asrmeggvvl
    181 alvregdskp caisygyssg vpnlcslrts itntgltptt yslrvggles gvvwvnalsn
    241 gndilgitnt snvsflevip qtna
    CT823 (cHtrA, 497 amino acids), ACCESSION# NP 220344.1, GI: 15605558
    (SEQ ID NO: 7934
    1 mmkrllcvll stsvfsspml gysaskkdsk adiclavssg dgevsgedll kevsrgfsrv
    61 aakatpgvvy ienfpktgnq aiaspgnkrg fqenpfdyfn deffnrffgl pshreqqrpq
    121 qrdavrgtgf ivsedgyvvt nhhvvedagk ihvtlhdgqk ytakivgldp ktdlavikiq
    181 aeklpfltfg nsdqlqigdw aiaignpfgl qatvtvgvis akgrnqlhiv dfedfiqtda
    241 ainpgnsggp llningqvig vntaivsgsg gyigigfaip slmakrvidq lisdgqvtrg
    301 flgvtlqpid selatcykle kvygalvtdv vkgspaekag lrqedvivay ngkeveslsa
    361 lrnaislmmp gtrvvlkivr egktieipvt vtqiptedgv salqkmgvrv qnitpeickk
    421 lglaadtrgi lvvaveagsp aasagvapgq lilavnrqrv asveelnqvl knskgenvll
    481 mvsqgdvvrf ivlksde
    CT681 (MOMP, 393 amino acids), ACCESSION# NP 220200.1, GI: 15605414
    (SEQ ID NO: 7935)
    1 mkkllksvlv faalssassl qalpvgnpae pslmidgilw egfggdpcdp catwcdaism
    61 rvgyygdfvf drvlktdvnk efqmgakptt dtgnsaapst ltarenpayg rhmqdaemft
    121 naacmalniw drfdvfctlg atsgylkgns asfnlvglfg dnenqktvka esvpnmsfdq
    181 svvelytdtt fawsvgaraa lwecgcatlg asfqyaqskp kveelnvlcn aaeftinkpk
    241 gyvgkefpld ltagtdaatg tkdasidyhe wqaslalsyr lnmftpyigv kwsrasfdad
    301 tiriaqpksa taifdtttln ptiagagdvk tgaegqlgdt mqivslqlnk mksrkscgia
    361 vgttivdadk yavtvetrli deraahvnaq frf
    CT119 (IncA, 273 amino acids), ACCESSION# NP 219622.1, GI: 15604838
    (SEQ ID NO: 7936)
    1 mttptlivtp psppapsysa nrvpqpslmd kikkiaaias liligtigfl allghlvgfl
    61 iapqitivll alfiislagn alylqktanl hlyqdlqrev gslkeinfml svlqkeflhl
    121 skefattskd lsavsqdfys clqgfrdnyk gfeslldeyk nsteemrklf sqeiiadlkg
    181 svaslreeir fltplaeevr rlahnqqslt vvieelktir dslrdeigql sqlsktltsq
    241 ialqrkessd lcsqiretls sprksaspst kss
    CT813 (inclusion membrane protein, 264 amino acids), ACCESSION#
    NP 220333.1, GI: 15605547
    (SEQ ID NO: 7937)
    1 mttlpnncts nsnsintftk diemakqiqg srkdplakts wiaglicvva gvlgllaigi
    61 ggcsmasglg ligaivaavi vavglcclvs alclqveksq wwqkefeswi eqksqfrivm
    121 admlkanrkl qseveflskg wsddtavhke dvtkyeqvve eyaekimely eetgvltiek
    181 inlqkekkaw leekaemeqk lttvtdleaa kqqleekvtd lesekqelre eldkaienld
    241 emayeamefe kekhgikpgr rgsi
    CT795 (hypothetical protein, 163 amino acids), ACCESSION# NP 220315.1,
    GI: 15605529
    (SEQ ID NO: 7938)
    1 mrfllalfsl ilvlpateaf stedkqcqqe aeedcsqvad tcvfysyaeg lehardegkl
    61 tivvlldtsg ysfetladaa hamessllst fadfvvlsrr eavpliyppv pdpmvgeial
    121 fleafsdqtf psqpvivtla igassaeimd iteipsinpe fve
    CT621 (hypothetical protein, 832 amino acids), ACCESSION# NP 220138.1,
    GI: 15605352
    (SEQ ID NO: 7939)
    1 mnrihrtqgs ltdynstlea iakkiakpds ativsqvaqy eqfkmeqeal kallvsfdqk
    61 adqryrnliq rleqldvdrq tgrstesqhi qekpmaslqs enqvvaqavv qsdssmpift
    121 gikqswavrl vqgireildq vlvdtslfte eergdllair mdaaslqdkq erlstedirs
    181 llslsndvmr vlqkasysst rqleliqsli difgteenle qsfaqvrlen fqailsvike
    241 rlteeefrvf qevseeissi qrtseshlsp ehieaiarvg ghlsakives elkasqkvdl
    301 cqriaamyqe qvdavqayhs leqdalfvns rqhshfvqvi slvsslmhsl sptseeeril
    361 lnpammvsvl ptvraiglrf dfltaeqqqm vnaavsslqq qqldeflgvl cahlvvvncq
    421 nketgllegl eesfsetlsg lsnnfvltak mqdilqvcsl qgfvtlangd ryelfsynds
    481 geavcdeial gdgfhkvlgt mlavalsqae vfkqecdrfi lqadseknmi hkrmvqgeqk
    541 slfltkmqte lnagktiaqt keveasplps avasvlidhy mpkeveflek issrlyygnk
    601 gsdigntild aislyvnsat yfgfanyigq ppvvgktren ifagsadnak akldeekkqv
    661 dvfleiteaa kttvtnqqsa vtnddklste qkakikaelt qytdmlnais nsltslktql
    721 aplsvstveg vdgvfevkng ipgengknwr lvlqtledtv vsgevgsptn igmfqmqalv
    781 hlnqqayadm gqnfqlelqm hltsmqqewm vvatslqlln qiylglarnl lr
    CT622 (hypothetical protein, 647 amino acids), ACCESSION# NP 220139.1,
    GI: 15605353
    (SEQ ID NO: 7940)
    1 mesgpesyss nqssmnpiin gqiasnsetk estkeseasp sasssvssws flssakhali
    61 slrdailnkn ssptdslsql eastststvt rvaardynea ksnfdtaksg lenattlaey
    121 etkmadlmaa lqdmerlakq kaevtrikea lqekqevidk lnqlvklekq nqtlketltt
    181 tdsadqipai nsqleinkns adqiikdleg qnisyeavlt nagevikass eagiklgqal
    241 qsivdagdqs qaavlqaqqn nspdniaatk klidaaetkv nelkqehtgl tdsplvkkae
    301 eqisqaqkdi qeikpsgsdi pivgpsgsaa sagsavgalk ssnnsgrisl llddvdnema
    361 aiamqgfrsm ieqfnvnnpa takelqamea qltamsdqlv gadgelpaei qaikdalaqa
    421 lkqpstdgla tamgqvafaa akvgggsagt agtvqmnvkq lyktafssts sssyaaalsd
    481 gysayktlns lysesrsgvq saisqtanpa lsrsysrsgi esqgrsadas qraaetivrd
    541 sqtlgdvysr lqvldslmst ivsnpqvnqe eimqkltasi skapqfgypa vqnsadslqk
    601 faaqlerefv dgerslaesr enafrkqpaf iqqvlvnias lfsgyls

Claims (20)

What is claimed is:
1. A method of diagnosing tubal factor infertility in a subject, comprising:
(a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof, and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and
(b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby diagnosing tubal factor infertility in the subject.
2. A method of identifying a subject as having an increased likelihood of having or developing tubal factor infertility, comprising:
(a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and
(b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and detecting the absence of formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof in the sample, thereby identifying the subject as having an increased likelihood of having or developing tubal factor infertility.
3. The method of claim 1, wherein the tubal factor infertility is caused by chlamydial infection.
4. The method of claim 1, wherein the subject is a human female.
5. The method of claim 1, wherein the subject is an infertile human female.
6. The method of claim 1, wherein the biological sample is any body fluid in which antibodies can be detected.
7. The method of claim 1, wherein the biological sample is diluted 1:1000.
8. The method of claim 1, wherein the antigen of the CT443 protein or immunologically reactive fragment thereof is a C terminal fragment.
9. The method of claim 1, wherein the diagnostic panel further comprises an additional antigen selected from the group consisting of Chlamydia trachomatis HSP60 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT376 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT557 or an immunologically reactive fragment thereof, or an immunologically reactive fragment thereof and any combination thereof, and an antigen/antibody complex is detected in the sample for each of said additional antigen(s).
10. A method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising:
(a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and
(b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
11. A method of diagnosing acute Chlamydia trachomatis infection in a subject, comprising:
(a) contacting a biological sample from the subject with an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof; and
(b) detecting formation of an antigen/antibody complex with the antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof in the sample, thereby diagnosing acute Chlamydia trachomatis infection in the subject.
12. A method of identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection, comprising:
(a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and
(b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject as having an increased likelihood of having an acute Chlamydia trachomatis infection.
13. A method of identifying a subject for whom antibiotic therapy for Chlamydia trachomatis infection is likely to be beneficial, comprising: (a) contacting a biological sample from the subject with a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof; and (b) detecting formation of an antigen/antibody complex with each of the antigen of Chlamydia trachomatis CT443 or immunologically reactive fragment thereof, the antigen of Chlamydia trachomatis CT381 or immunologically reactive fragment thereof and the antigen of Chlamydia trachomatis CT875 or the immunologically reactive fragment in the sample, thereby identifying a subject for whom antibiotic therapy to treat Chlamydia trachomatis infection is likely to be beneficial.
14. The method of claim 13, further comprising contacting the sample with an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof and detecting an antigen/antibody complex in the sample with the antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
15. The method of claim 13, wherein the subject is a human female.
16. The method of claim 13, wherein the sample is any body fluid in which antibodies can be detected.
17. A kit comprising a diagnostic panel comprising an antigen of each of Chlamydia trachomatis CT443 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT381 or an immunologically reactive fragment thereof and Chlamydia trachomatis CT875 or an immunologically reactive fragment thereof.
18. The kit of claim 17, wherein the diagnostic panel further comprises an antigen selected from the group consisting of Chlamydia trachomatis HSP60 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT376 or an immunologically reactive fragment thereof, Chlamydia trachomatis CT557 or an immunologically reactive fragment thereof, or an immunologically reactive fragment thereof and any combination thereof.
19. A kit comprising a diagnostic panel comprising an antigen of Chlamydia trachomatis CT875 or immunologically reactive fragment thereof.
20. The kit of claim 17, further comprising an antigen of Chlamydia trachomatis CT147 or immunologically reactive fragment thereof.
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